Visit acad.jobs with all Jobs for Academics!
                    
Position: Supervisor - Provider Data Management
Institution: Centene Corporation
Location: Missouri, United States
Duties: Manage the daily operations of all provider data management functions. Direct provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and entry, review of data via internet sites and other systems, usage of multiple systems and applications to validate data is complete and accurate, and investigation and resolution of data issues. Investigate and resolve complex provider data management issues. Identify trends and recommend improvements to mitigate potential issues. Lead task assignment for team’s workflow and distribution. Monitor team performance to ensure established and provider data quality benchmarks are met
Requirements: Bachelor’s degree in related field or equivalent experience. 3+ years of combined management and provider data management, data analysis, and customer service experience preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience in a managed care, insurance, or medical office environment
   
Text: Supervisor, Provider Data Management','1117396',' Position Purpose: Manage the daily operations of all provider data management functions. Direct provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and entry, review of data via internet sites and other systems, usage of multiple systems and applications to validate data is complete and accurate, and investigation and resolution of data issues. Manage the end-to-end provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display Investigate and resolve complex provider data management issues Identify trends and recommend improvements to mitigate potential issues Lead task assignment for team’s workflow and distribution Monitor team performance to ensure established and provider data quality benchmarks are met Facilitate meetings with Health Plan representatives Train and mentor Provider Data Management Analyst I, II, and Team Leads ',' Position Purpose: Manage the daily operations of all provider data management functions. Direct provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and entry, review of data via internet sites and other systems, usage of multiple systems and applications to validate data is complete and accurate, and investigation and resolution of data issues. Manage the end-to-end provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display Investigate and resolve complex provider data management issues Identify trends and recommend improvements to mitigate potential issues Lead task assignment for team’s workflow and distribution Monitor team performance to ensure established and provider data quality benchmarks are met Facilitate meetings with Health Plan representatives Train and mentor Provider Data Management Analyst I, II, and Team Leads ',' Education/Experience: Bachelor’s degree in related field or equivalent experience. 3 years of combined management and provider data management, data analysis, and customer service experience preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience in a managed care, insurance, or medical office environment. Experience performing and leading teams performing data analysis in Excel or similar tools strongly preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. ',' Education/Experience: Bachelor’s degree in related field or equivalent experience. 3 years of combined management and provider data management, data analysis, and customer service experience preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience in a managed care, insurance, or medical office environment. Experience performing and leading teams performing data analysis in Excel or similar tools strongly preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. ','Provider Data Management','Provider Data Management','USA-Missouri-Town and Country','USA-Missouri-Town and Country','','','Corporate','Corporate','Full-time','Full-time','','','false','false','539568','539568','true','539568','false','Submission for the position: Supervisor, Provider Data Management - (Job Number: 1117396)','false','539568','false','true','https://centene.taleo.net/careersection/jobdetail.ftl?job=1117396〈=en','Supervisor, Provider Data Management','true']);
Please click here, if the Job didn't load correctly.







Please wait. You are being redirected to the Job in 3 seconds.