About Humana


Job Category:

Market Strategy - Operations


United States

Postal Code:


Approximate Salary:

Not Specified

Position Type:

Full Time

Network Operations Coordinator 4- Metairie, LA

Humana - Metairie, Louisiana

Posted: 12/10/2018


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. Manages provider audits, provider data, 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.


Required Qualifications

  • High School Diploma or equivalent
  • 2 + years of provider data management and/or audit experience or related experience
  • Intermediate in Microsoft Word and Excel
  • Valid drivers license and reliable transportation
  • Self-motivated
  • Detail oriented
  • In office position in Metairie, LA
  • M-F, Hours are 8a-5p

Preferred Qualifications

  • Associates or Bachelors degree
  • Provider contract interpretation experience
  • Previous account management or project management
  • Knowledge with medical claims

Additional Information

Scheduled Weekly Hours


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