Lead Provider Data Management Analyst(Job Number: 1076582)Description Position Purpose: Serve as the lead for all provider data management activities providing guidance and support to other team members 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.Serve as the subject matter expert for all activities related to provider data managementPerform complex and non routine provider set upInvestigate and resolve complex provider data management issuesIdentify trends and recommend improvements to mitigate potential issuesAssist with team’s assignment workflow and distributionPerform quality service checks on systemic data entered and updated by teamProvide training to team members to ensure accurate and timely provider data management set-up of providersQualifications Education/Experience: Associate’s degree in related field or equivalent experience. 3 years of provider data management and customer service experience preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting) or credentialing experience in a managed care, insurance, or medical office environment. Experience 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.
Website : http://www.centene.com
Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations