CenterWell Pharmacy is seeking a Network Operations Coordinator to own provider relations and data integrity, supporting critical customer service operations. You will lead advanced administrative duties, working with broad guidelines and minimal oversight to maintain service quality and meet strict deadlines.
What You'll Do
- Maintain provider relations to support customer service activities.
- Manage provider data for health plans, including demographics, rates, and contract intent.
- Operate within a fast-paced environment and manage strict regulatory deadlines.
- Manage provider audits, service relations, credentialing, and contract management systems.
- Execute processes for intake and manage provider perceived service failures.
- Make decisions regarding daily priorities for an administrative work group and/or external vendors.
- Coordinate work activities and monitor progress towards schedules and goals.
- Often oversee the work of others and/or act as the primary administrative owner of a main process, program, product, or technology.
What We're Looking For
- 2+ years of experience in provider relations, health care services, consumer services, provider contracting, provider loading, or contract interpretation.
- Prior professional experience with Microsoft Word, Outlook, Excel, and TEAMS at an intermediate skill level or higher.
- 1+ years of experience managing mid- to large-scale projects.
Nice to Have
- High School Diploma or GED.
- Provider contract auditing or related experience with another payer or provider.
- Previous account management or project management experience.
- Strong organization and multi-tasking skills.
Technical Stack
- Microsoft Word
- Microsoft Outlook
- Microsoft Excel
- Microsoft TEAMS
Team & Environment
You will often oversee the work of others and/or be the primary administrative owner of a main process.
Benefits & Compensation
- Compensation range: $53,100 - $72,500 per year.
- Medical, dental, and vision benefits.
- 401(k) retirement savings plan.
- Comprehensive time off, including paid time off, company and personal holidays, volunteer time off, and paid parental and caregiver leave.
- Short-term and long-term disability insurance.
- Life insurance.
Work Mode
This position is hybrid and open to remote work.
Humana and its subsidiaries, including CenterWell Pharmacy, are committed to putting health first for teammates, customers, and the company. 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.
