Network Operations Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee provider data for health plans, encompassing demographics, rates, and contract intentions.

• Supervise provider audits, provider services and relations, credentialing, and contract management systems.

• Implement intake processes and handle provider-related service issues.

• Identify methods, strategies, and processes for accomplishing administrative tasks and projects.

• Prioritize requests and interpret as well as modify procedures, processes, and techniques accordingly.

• Travel occasionally to Humana offices for training or meetings.

⛳️ Requirements

• At least 2 years of experience in a healthcare environment with providers, payors, and healthcare facilities.

• Experience in data analytics.

• Intermediate proficiency in Microsoft Office.

• Strong skills in Excel.

• Capability to manage multiple tasks and work within a deadline-driven setting.

• A dedicated workspace free from ongoing interruptions to safeguard member PHI / HIPAA information.

• Home internet service with a minimum of 25 Mbps download and 10 Mbps upload speeds.

• Experience in provider credentialing is preferred.

• Previous claims experience is preferred.

• Prior experience in contract review, loading, or interpretation is 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.