Network Operations Coordinator

🔥 1 minute 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 intake processes and manage 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 • Occasionally travel to Humana offices for training or meetings

🎯 Requirements

• 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 • Proficient in Excel • Ability to multi-task and work in a deadline driven environment • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information • Self-provided internet service with at least 25 Mbps download speed and 10 Mbps upload speed • Provider credentialling experience (preferred) • Previous experience in claims (preferred) • Prior contract review, loading or interpretation experience (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 • Remote work arrangement • Flexible work arrangement for home or hybrid home/office employees