Network Operations Coordinator jobs in United States
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Humana · 1 day ago

Network Operations Coordinator

Humana Inc. is committed to putting health first for its customers and employees. The Network Operations Coordinator 4 will maintain provider relations and manage provider data for health plans, while also overseeing administrative support duties with little oversight.

Health CareHealth InsuranceInsuranceVenture Capital
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H1B Sponsor Likelynote

Responsibilities

Maintains provider relations to support customer service activities through data integrity management needed for service operations
Assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment
Manages provider data for health plans including but not limited to demographics, rates, and contract intent
Manages provider audits, provider service and relations, credentialing, and contract management systems
Executes processes for intake and manage provider perceived service failures
Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals
Often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology
Works within broad guidelines with little oversight

Qualification

Provider relations experienceProject managementMicrosoft ExcelProvider contract interpretationMedical claims knowledgeMicrosoft WordMicrosoft OutlookMicrosoft TEAMS

Required

2+ years of provider relations experience, healthcare services or related experience
Intermediate experience in Microsoft Word, Outlook, Excel and TEAMS
1+ years of experience managing mid to large scale projects

Preferred

Bachelor's Degree
Advanced experience with Microsoft Excel
Provider contract interpretation experience
Previous account management or project management
Knowledge with medical claims
Ability to accommodate a work schedule following Central Standard Time zone hours

Benefits

Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Many other opportunities

Company

Humana is a health insurance provider for individuals, families, and businesses.

H1B Sponsorship

Humana has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)

Funding

Current Stage
Public Company
Total Funding
$13.07B
2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B

Leadership Team

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Jim Rechtin
CEO and President
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Colin Drylie
Senior Vice President, Experience Transformation
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Company data provided by crunchbase