Provider Connectivity Professional 2 at Humana in Remote

Summary: Humana is a Fortune 100 Company committed to putting health first for their teammates, customers, and communities. The Provider Connectivity Professional 2 role involves providing analysis and support on complex EDI-related issues and responding to inquiries from providers and internal departments. Responsibilities: - Provides analysis and support to both internal and external customers on complex EDI-related issues (i.e., electronic exchange of data including enrollment, claims, payments, and clearinghouse activities) - Responds to complex inquiries relating to EDI from providers and internal departments - May help customers with modem set-up, connection protocols - Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas - Makes decisions regarding own work methods and receive guidance where needed - Follows established guidelines/procedures Required Qualifications: - Strong knowledge of Microsoft products Excel and Access - Minimum of 1 year of experience building reports in SSRS or a similar tool - Ability to identify trends, communicate results, and make recommendations - Excellent organizational skills - Demonstrated verbal and written communication skills - Flexible and ability to adapt to change to support ongoing business needs Preferred Qualifications: - Strong knowledge of SQL - PowerPoint, Visio experience - Experience with Availity BI - Experience with querying and extracting data from different data sources to include EDW, SQL, and Access databases - Experience in HIPAA X12 transactions; Claims Submission, Claims Status, Eligibility & Benefits and Referrals & Authorization - SharePoint knowledge - Knowledge of provider office processes and experience working in the provider space Required Skills: Microsoft Excel, SSRS, SQL Important Skills: HIPAA X12 transactions Nice-to-Have Skills: PowerPoint, Visio, SharePoint, Availity BI Benefits: Benefits starting day 1 of employment, Competitive 401k match, Generous Paid Time Off accrual, Tuition Reimbursement, Parent Leave, Medical, dental and vision benefits, 401(k) retirement savings plan, Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), Short-term and long-term disability, Life insurance