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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing provider data, including credentialing and contract management, while ensuring compliance with HIPAA regulations. Proficient in utilizing Microsoft Office, particularly Excel, to support administrative tasks and provider relations.
Highest-signal resume keywords
Provider Credentialing ExperienceContract Management SystemsMicrosoft Excel ProficiencyHealthcare Setting ExperienceClaims Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Data ManagementContract ReviewAdministrative ProceduresProcess ExecutionMulti-tasking
Soft Skills
Ability to Work Under DeadlinesAdaptabilitySelf-motivation
Tools & Technologies
Microsoft OfficeCredentialing SystemsContract Management Systems
Industry Keywords
Healthcare ProvidersPayorsHealthcare FacilitiesPHIHIPAA
About the role
Key responsibilities & impact- Manage provider data for health plans, including demographics, rates, and contract intent
- Manage provider audits
- Manage provider service and relations
- Manage credentialing and contract management systems
- Execute processes for intake and management of provider perceived service failures
- Prioritize requests and interpret or adapt administrative procedures, processes, and techniques
- Complete administrative tasks and projects with limited guidance
- Travel occasionally to Humana offices for training or meetings
Requirements
What you’ll need- Minimum of 2 years of experience working in a healthcare setting with providers, payors, healthcare facilities, etc.
- Intermediate skills with Microsoft Office
- Proficient in Excel
- Ability to multi-task and work in a deadline driven environment
- Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- Self-provided internet service with a minimum download speed of 25 Mbps and upload speed of 10 Mbps
- Wireless, wired cable or DSL connection is suggested
- Provider credentialling experience preferred
- Previous experience in claims preferred
- Prior contract review, loading or interpretation experience preferred
Benefits
Comp & perks- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Personal wellness support
- Smart healthcare decision support
- Occasional travel to Humana offices for training or meetings
