Humana
Santa Fe, NM, USA
Become a part of our caring community and help us put health first The Network Operations Coordinator 4 maintains provider relations to support customer service activities through data integrity management and gathering of provider 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, rates, and contract intent. Operates within fast-paced environment with ability to manage and meet strict regulatory deadlines. Manages provider audits, provider service and relations, 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...


