Humana

Network Operations Coordinator

Humana

3401 SW 160th Ave, Miramar, FL 33027, USA
Full-TimeDepends on ExperienceEntry LevelAssociate
Job Description

The Network Operations Coordinator 3 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 typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.

Where is this job?
This job is located at 3401 SW 160th Ave, Miramar, FL 33027, USA
Job Qualifications
  • 1 or more years of experience (within the last 3 years) in healthcare insurance and/or Medical front office experience

  • Ability to work in a deadline driven environment

  • Prior experience working in the healthcare insurance industry a plus

  • Prior contract interpretation experience

Required Skills
  • Contract Management

  • MS Word

  • Time Management Skills

  • MS Excel skills

  • Network adequacy analysis

  • Contract load auditing

Soft Skills
  • Self-Motivated

  • Communication Skills

  • Problem Solving Skills

  • Flexibility/Adaptability

  • Detail Oriented and Organized

  • Multi tasker

Compensation

According to JobzMall, the average salary range for a Network Operations Coordinator in 3401 SW 160th Ave, Miramar, FL 33027, USA is between $41,000 and $55,000 per year. This range may vary depending on the company and the experience of the individual.

Additional Information
Humana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedJune 10th, 2021
Apply BeforeMay 22nd, 2025
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About Humana

Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.

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