Remote Network Operations Coordinator - Provider Data

Humana Inc

Topeka (KS)

Remote

USD 53,000 - 73,000

Full time

3 days ago
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Benefits offered by this job

Medical benefits
Dental benefits
Vision benefits
401(k) plan
Paid time off
Disability insurance
Life insurance

Job summary

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

You will support Provider Network Operations through shared services, perform roster audits, act as a customer service liaison, resolve provider load issues, and manage projects as assigned. The role requires independent work, strong time management, and adherence to guidelines.

Qualifications

  • Minimum of 2 years of experience 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 Excel
Microsoft Office
Time management
multitasking

Tools

APEX
PMDM
PAAG
CRM

Job description

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

You will support Provider Network Operations through shared services, perform roster audits, act as a customer service liaison, resolve provider load issues, and manage projects as assigned. The role requires independent work, strong time management, and adherence to guidelines.

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