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Provider Contracting Coordinator - VA

Provider Contracting Coordinator - VA

HumanaPhiladelphia, PA, US
1 day ago
Job type
  • Full-time
Job description

Provider Contracting Coordinator

The Provider Contracting Coordinator initiates physician and / or other provider contracts and agreements. The Provider Contracting Coordinator performs advanced administrative / operational / customer support duties that require independent initiative and judgment. The Provider Contracting Coordinator manages provider network reporting and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. 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.

Additional responsibilities include :

  • Provider data auditing for compliance
  • Data management for reporting

Use your skills to make an impact.

Required qualifications :

  • 1 year of provider relations, provider contracting or account management experience
  • Excellent written and oral communication skills
  • Ability to manage multiple priorities in a fast-paced environment
  • Proficiency in Microsoft Excel (manage large volumes of data through tools such as pivot table & V-lookup)
  • Must live / work within driving distance of the State of Virginia
  • Preferred qualifications :

  • Managed Care experience
  • Additional information :

    This role is considered "remote / work at home", however, you must live / work within driving distance of the State of Virginia.

    Work at home information :

    To ensure Home or Hybrid Home / Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home / Office employees 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
  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense
  • Humana will provide Home or Hybrid Home / Office employees with telephone equipment appropriate to meet the business requirements for their position / job
  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  • Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

    Scheduled weekly hours : 40

    Pay range : $40,000 - $52,300 per year

    Description of benefits :

    Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. 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), short-term and long-term disability, life insurance and many other opportunities.

    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.

    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.

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