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004 Humana Insurance

Network Optimization Professional

Remote Illinoisremote

Posted today · via Workday

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About this role

Become a part of our caring community Join our Illinois Market team in this exciting role as a Network Optimization Professional! Reporting to the Network Optimization Principal, you will play an important role on the Network Optimization team with assisting to ensure compliance with network requirements, including network adequacy, for Humana's Illinois Medicaid plan. Main Responsibilities Analyze provider network performance by auditing Provider contracts and ensuring Quality Assurance on Provider loading. Triage the Provider Escalation tracker and collaborate with departments to manage tasks. Analyze internal and external data, and market intelligence information.…

Read the full description on 004 Humana Insurance's site →

What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: monday, hipaa

2

Level fit

We check your title trajectory against the seniority signal of the role.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

mondayhipaa

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