Network Operations Coordinator 4 Humana 4,148 reviews - Metairie, LA Description The Network Operations Coordinator 4 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims 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. Responsibilities The Network Operations Coordinator 4 manages provider data for health plans including but not limited to demographics, rates, and contract intent. 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 external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight. Required Qualifications * High School Diploma or equivalent * 2 + years of provider relations experience * Intermediate in Microsoft Word and Excel * Valid drivers license and reliable transportation Preferred Qualifications * Provider contract interpretation experience * Previous account management or project management * Knowledge with medical claims Additional Information Scheduled Weekly Hours 40 1 day ago - save job - original job Apply On Company Site Other jobs you may like Supv-RN Operations Coordinator - ED - LaPlace... Ochsner Health System - New Orleans, LA 26 days ago RN - Operations Coordinator - Cystoscopy Clin... Ochsner Health System - New Orleans, LA 30+ days ago Supv-Rehab Services Operations Coordinator -... Ochsner Health System - New Orleans, LA 4 days ago Network Operations Coordinator Metasense Inc - Baton Rouge, LA 26 days ago Easily apply Operations Coordinator Louisiana Art & Science Museum - Baton Rouge, LA 4 days ago Easily apply * Network Operation Coordinator jobs in Metairie, LA * Jobs at Humana in Metairie, LA * Network Operation Coordinator salaries in Metairie, LA Humana Humana 4,148 reviews For more than 50 years Humana has been a proven leader and innovator in the health and wellness industry. A passionate emphasis on people,... Let employers find you Thousands of employers search for candidates on Indeed Upload Your Resume