Network Operations Coordinator 4 Jobs

The Network Operations Coordinator 4 maintains provider data to support customer service activities through data integrity management and gathering of provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

Responsibilities

Required Qualifications

• 1+ years experience managing mid to large scale projects
• 2+ years of healthcare experience (provider relations, working in a provider’s office, credentialling, billing)
• Intermediate in Microsoft Word, Outlook, Excel and TEAMS
• Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required
• 2+ years of provider contract management (auditing, loading, analyses, directory validation

Preferred Qualifications

• Provider contract interpretation experience
• Previous account management or project management
• Knowledge with medical claims

Additional Information for Work at Home

This is a remote position

#LI-Remote

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
• Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
• Satellite, cellular and microwave connection can be used only if approved by leadership

Scheduled Weekly Hours

40