Network Outreach Specialist at Honolulu

Job Description

Role: Medicare Operations Specialist

Assignment: Sr. Products

Location: Honolulu, HI

Are you a fit?

Are you a detail-oriented problem solver? Would you enjoy using your business knowledge to coordinate and improve various ProviderNetwork processes?

Assignment Capsule

TheMedicare Operations Specialistwill act as an in-office resource for Humanas providers and internal departments primarily Provider Operations locally in Hawaii.

• Participate in a variety of activities not limited to scheduling meetings, taking meeting notes, maintain action logs, assisting with data entry
  
• Provide outreach via telephone and communicate withexternal partners & providers.
  
• Utilize & maintain appropriate in-house systems, including SharePoint, during each project;track and communicate allnetwork changes.
  
• Maintain all provider related files.
  
• Create process flow charts and documentation for each IPA contracted (snapshots, contract grids, executive summaries, agendas) and maintain action item logs.
  
• Assist Medicare Operations with auditing Physician Finder Plus, Directories, PDFs, other systems which display provider demographic information.
  

Key Competencies

• Builds Trust: You honor your word by doing what you say you are going to do.
• Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business.
• Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
• Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.

Job Requirements

Role Essentials

• Exceptional technical skills
• Ability to use Microsoft Access; sort & manipulatedata and import/export data
• Comprehensive knowledge ofMicrosoftWord & Excel
• Demonstratedverbal & written communication skills
• Excellent Customer Service skills
• Strong attention to detail & exemplary organizational skills
• Minimum High School diploma to be employed at Humana

Role Desirables

• Prior experience in an operational support role in a matrix organization
  
• Bachelors Degree in Business, Finance or a related field
  
• Prior healthcareexperience
  

Reporting Relationships

You will report to the Market Director. This is an entry level role that supports the local office.

Country: USA, State: Hawaii, City: Honolulu, Company: Humana.