Network Adequacy Professional 2

Humana
Boston, MA
**Become a part of our caring community and help us put health first** The Network Adequacy Professional 2 understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. This role will produce recurring and ad hoc reports dealing with all lines of business across Humana to determine the access and availability of our provider network, + Systems thinker - Highly analytical with the ability to break down a problem and recommend pragmatic solutions + Prioritization - Able to execute on projects within prescribed timelines in an environment with competing demands + Data - The ability to process data, present relevant views to different stakeholders, and predict and forecast trends/insights + Tools - A curiosity to experiment with and evaluate new tools to impact how we work **Use your skills to make an impact** **Required Qualifications** + 2 years of experience working in a data or problem-solving environment + Minimum of 1 year of experience working with SQL or other relational databases + Intermediate computer skills in MS Office Word, Excel & Outlook **Preferred Qualifications** + Bachelor's Degree + Prior experience working within the healthcare field + Previous experience with medical claims + Project management experience **Additional Information** This role is considered "remote/work at home" and can be based anywhere in the United States. **Work at Home Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities. Application Deadline: 11-30-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
Posted 2025-11-25

Recommended Jobs

Research Assistant and Clinical Training Coordinator

Planned Parenthood League of Massachusetts
Boston, MA

Join Us in Advancing Sexual and Reproductive Health and Research Planned Parenthood League of Massachusetts (PPLM) is committed to providing inclusive, equitable, and compassionate care. We believ…

View Details
Posted 2025-11-26

Talent Acquisition Coordinator

Emerson Hospital
Concord, MA

Talent Acquisition Coordinator Job Ref: 33328 Category: Clerical & Administrative Support Location: 133 Old Road to Nine Acre Corner, Concord, MA 01742 Department: Human Resources Sche…

View Details
Posted 2025-11-27

Business Development Representative

Sycurio.
Boston, MA

Main purpose of the job: As a Business Development Representative at Sycurio, you will be a key player in driving the growth of our company by identifying and qualifying potential new business opp…

View Details
Posted 2025-11-18

Braid Operator - 2nd Shift

Sumitomo Electric Group
Turners Falls, MA

Description Position at Judd Wire, Inc.       Braid Machine Operator2nd Shift Judd Wire Inc., a Sumitomo Electric Group company, is looking for 2nd shift Braid Machine Operator in our Tur…

View Details
Posted 2025-11-27

Lead Cashier

ULTA SALON
Massachusetts

OVERVIEW Experience a place of energy, passion, and excitement. A place where the joy of discovery and uncommon artistry blend to create exhilarating buying experiences—for true beauty enthus…

View Details
Posted 2025-09-24

Physiatry Physician Opening on Cape Cod - Generous Comp!

Enterprise Medical Recruiting
Massachusetts

A rehabilitation facility on Cape Cod has an opening for an Inpatient Physiatrist. This 60-bed, free-standing hospital is the only Medicare certified rehabilitation hospital on Cape Cod, serving the …

View Details
Posted 2025-11-07

Solution Leader - Life Sciences

Oxford Global Resources
Beverly, MA

Solution Leader - Life Sciences Date:  Nov 13, 2025 Location:  Beverly, MA, US, 01915 Company:  Oxford Global Resources Job ID:  6678 …

View Details
Posted 2025-11-13

Design Engineer

Suno
Boston, MA

Location Boston, NYC, Los Angeles Employment Type Full time Location Type On-site Department Design About Suno Suno is a music company for the next generation of creators. …

View Details
Posted 2025-11-21

Line Attendant- 2nd shift FNS

Schwan's Company
Westfield, MA

Starting Pay: $17.75 Additional $1.50 shift differential Shift: 2nd Benefits: + Health, Life, Dental, and Vision Plans + Earn up to 2 weeks paid time off during one's first year + 401k with Compa…

View Details
Posted 2025-11-20

Hospitality Host/Hostess

Beacon Hill Hotel
Boston, MA

We’re more than just a team - we’re a community dedicated to making a difference every day. At Olympia Hospitality, we create a fun, supportive environment where growth never stops, and success is c…

View Details
Posted 2025-10-21