
Network Operations Coordinator
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.
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
Contract Management
MS Word
Time Management Skills
MS Excel skills
Network adequacy analysis
Contract load auditing
Self-Motivated
Communication Skills
Problem Solving Skills
Flexibility/Adaptability
Detail Oriented and Organized
Multi tasker
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.
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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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