Network Operations Coordinator Position Available In Albany, New York

Job Order Number:

DG0203935

Job Title:

Network Operations Coordinator

Company:

Humana Location:

Albany, NY

Salary:

Education:

Information Not Provided

Experience:

Information Not Provided

Hours:

Duration:

Full Time, Regular

Shift:

Description:

 

• Become a part of our caring community and help us put health first
• The Network Operations Coordinator 4 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims 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.

The Network Operations Coordinator 4 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, and 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.

• Position will cover Oklahoma Market.
• Use your skills to make an impact
• Required Qualifications
• + 2 + years of provider relations, customer support, administrative, data entry or related experience+ Intermediate skills with Microsoft Word and Excel+ Ability to work in a deadline driven environment+ Strong attention to detail+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Preferred Qualifications
• + Provider contract interpretation experience+ Previous account management or project management+ Previous experience in health insurance or healthcare+ Experience with Medicaid
• Additional Information
• + Ability to travel up to 10% annuallyAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
• Work At Home /

Internet Information:

• To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.

+ Satellite, cellular and microwave connection can be used only if approved by leadership.+ Employees 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.+ Humana will provide Home or Hybrid Home/Office employees 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.

• SSN Information:

• Humana values personal identity protection.

Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Travel:

While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

• Scheduled Weekly Hours
• 40•Pay Range•The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.

The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$53,100 – $72,500 per year

• Descr