Network Operations Coordinator

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $53.1k - $72.5k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🌐 Network Operations

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Manage provider data for health plans, including demographics, rates, and contract intent • Manage provider audits, provider service and relations, credentialing, and contract management systems • Execute processes for intake and management of provider-perceived service failures • Set daily priorities for an administrative work group and/or external vendors • Coordinate work activities and monitor progress toward schedules and goals • Oversee the work of others and/or serve as the primary administrative owner of a main process, program, product, or technology • Work within broad guidelines with little oversight

🎯 Requirements

• Minimum of 2 years of provider relations experience, healthcare services or related experience • Minimum of 1 year of experience managing mid to large scale projects • Intermediate experience in Microsoft Word, Outlook, Excel (VLOOKUP’s, lateral lookups & ability to manipulate data) and TEAMS • Ability to accommodate a work schedule following Central Standard Time zone hours • Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information • Advanced experience with Microsoft Excel (preferred) • Provider contract interpretation experience (preferred) • Previous account management or project management (preferred) • Knowledge of medical claims (preferred)

🏖️ Benefits

• Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness support • Smart healthcare decision support • Occasional travel to Humana offices for training or meetings