Network Operations Coordinator

Humana

. Manage provider data for health plans, including demographics, rates, and contract intent .

Posted 9/21/2026full-timeRemote • United StatesJuniorMid-Level💰 $53,100 - $72,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing provider data, overseeing provider relations, and executing project management within healthcare services. Proficient in data manipulation and analysis using Microsoft Excel, with a strong understanding of provider contracts and medical claims.

Highest-signal resume keywords

Provider Relations ExperienceProject ManagementMicrosoft ExcelProvider Contract InterpretationMedical Claims Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider Data ManagementProvider AuditsCredentialingContract ManagementData ManipulationVLOOKUPProject ManagementService Failure ManagementAccount ManagementHealthcare Services

Soft Skills

LeadershipCoordinationCommunicationPrioritizationMonitoring Progress

Tools & Technologies

Microsoft WordMicrosoft OutlookMicrosoft Teams

Industry Keywords

PHIHIPAAHealthcareProvider RelationsContract Management Systems

About the role

Key responsibilities & impact

Manage provider data for health plans, including demographics, rates, and contract intent
Manage provider audits, provider service and relations, credentialing, and contract management systems
Execute processes for intake and management of provider-perceived service failures
Set daily priorities for an administrative work group and/or external vendors
Coordinate work activities and monitor progress toward schedules and goals
Oversee the work of others and/or serve as the primary administrative owner of a main process, program, product, or technology
Work within broad guidelines with little oversight

Requirements

What you’ll need

Minimum of 2 years of provider relations experience, healthcare services or related experience
Minimum of 1 year of experience managing mid to large scale projects
Intermediate experience in Microsoft Word, Outlook, Excel (VLOOKUP’s, lateral lookups & ability to manipulate data) and TEAMS
Ability to accommodate a work schedule following Central Standard Time zone hours
Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home internet
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Advanced experience with Microsoft Excel (preferred)
Provider contract interpretation experience (preferred)
Previous account management or project management (preferred)
Knowledge of medical claims (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