Network Operation Coordinator 4Auditor

Become a part of our caring community and help us put health first

The Network Operations Coordinator 4Auditor 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 4Auditor

• Manages provider data 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.

• Audit provider data demographic, contract, service fund

• Submission for audit findings into APEX

• Phone and email communication with provider and contractor

• 
  Use your skills to make an impact
  

  Required Qualifications

  • 2 or more years of provider relations experience

  • 1 or more years of working experience with APEX, PAAG and PMDM

  • Intermediate experience with Microsoft Word

  • Intermediate experience with Excel (pivot tables, formatting, vlookup)

  • Must work EST hours

  • Preferred Qualifications

    • Experience with provider contracts andor maintaining provider data

    • Provider contract interpretation experience

    • Previous account management andor project management experience

    • Working experience with medical claims

    • Work independently and manage workload

    • Additional Information

      Department hours 8am to 5pm EST

      Additional Information
      This role is remotework at home, however, you must be willing and able to work EST hours.

      Work at Home Guidance

      To ensure Home or Hybrid HomeOffice associates’ ability to work effectively, the selfprovided internet service of Home or Hybrid HomeOffice associates must meet the following criteria:

      • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

      • Satellite, cellular and microwave connection can be used only if approved by leadership

      • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a biweekly payment for their internet expense.

      • Humana will provide Home or Hybrid HomeOffice associates with telephone equipment appropriate to meet the business requirements for their positionjob.

      • Work from a dedicated space lacking ongoing interruptions to protect member PHI HIPAA information

      • Internal If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting govivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

        #LIBB1

        Travel: While this is a remote position, occasional travel to Humanas 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

        
        

        Description of Benefits

        Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support wholeperson wellbeing. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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), shortterm and longterm disability, life insurance and many other opportunities.

        Application Deadline: 07312025

        
        About us
        

        Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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        Equal Opportunity Employer

        It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.