Remote Network Operations Coordinator - Provider Data

Humana Inc; Dover (DE); Remote; USD 53,000 - 73,000; Full time

Benefits offered by this job

Medical, dental, and vision benefits

401(k) retirement plan

Paid time off

Job summary

Humana Inc. in Delaware is seeking a Network Operations Coordinator 4 to manage provider contract data and demographics for assigned provider groups within the Health Plan.

You will support Provider Network Operations by performing roster audits, acting as a customer service liaison, resolving provider load issues, and coordinating projects as assigned. This role emphasizes independent work, strong time management, and problem solving with minimal direction.

Qualifications

• Minimum of 2 years of experience working in a healthcare setting with providers, payors, healthcare facilities, etc.
• Data analytic experience
• Intermediate skills with Microsoft Office, and proficient in Excel
• Ability to multi-task and work in a deadline driven environment

Responsibilities

• Performing Roster Audits
• Acting as a customer service liaison
• Resolving provider load issues
• Managing Projects as assigned

Skills

Data analytics

Microsoft Office

Excel

Healthcare setting

Tools

APEX

PMDM

CRM

Job description

Humana Inc. in Delaware is seeking a Network Operations Coordinator 4 to manage provider contract data and demographics for assigned provider groups within the Health Plan.

You will support Provider Network Operations by performing roster audits, acting as a customer service liaison, resolving provider load issues, and coordinating projects as assigned. This role emphasizes independent work, strong time management, and problem solving with minimal direction.