[Remote] Provider Contracting Coordinator - VA at Humana

Virginia, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

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

Responsibilities

Initiates physician and/or other provider contracts and agreements
Performs advanced administrative/operational/customer support duties that require independent initiative and judgment
Manages provider network reporting and documentation within a tracking system
May assist with identifying and recruiting providers based on network composition and needs
Provider data auditing for compliance
Data management for reporting

Skills

Microsoft Excel

Pivot Tables

VLOOKUP

Provider Contracting

Provider Relations

Account Management

Provider Data Auditing

Data Management

Reporting

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters

1961Year Founded

IPOCompany Stage

Social Impact, HealthcareIndustries

10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.

Rising medical costs and tightening Medicare reimbursements may strain financial performance.

Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.

The company emphasizes inclusivity, offering free language interpreter services for accessibility.

Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.

The company is the first insurer to cover TMS therapy for adolescent depression.

Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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