Network Operations Coordinator 3 @ Humana | Jobright.ai
JOBSarrow
RecommendedLiked
0
Applied
0
External
0
Network Operations Coordinator 3 jobs in Remote Minnesota
Be an early applicantLess than 25 applicants
company-logo

Humana · 2 days ago

Network Operations Coordinator 3

ftfMaximize your interview chances
Health CareHealth Insurance
check
H1B Sponsor Likelynote

Insider Connection @Humana

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations.
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 manages provider perceived service failures.
Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes, and techniques.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Administrative ExperienceCustomer Support ExperienceHealthcare ExperienceMicrosoft WordMicrosoft ExcelHealthcare Insurance IndustryClaims ExperienceContract Interpretation

Required

High School Diploma or equivalent
1 + years of prior experience in an administrative, customer support, or healthcare
Intermediate skills with Microsoft Word and Excel
Ability to work in a deadline driven environment
Strong attention to detail
Strong written and verbal communication skills

Preferred

Prior experience working in the healthcare insurance industry
Previous experience in claims
Prior contract interpretation experience

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

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
2023 (217)
2022 (257)
2021 (258)
2020 (107)

Funding

Current Stage
Public Company
Total Funding
$6.82B
2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B

Leadership Team

leader-logo
Bruce D. Broussard
President and Chief Executive Officer
linkedin
leader-logo
Susan M. Diamond
CFO
linkedin
Company data provided by crunchbase
logo

Orion

Your AI Copilot