Centene Corporation Manager, Provider Data Management in Harrisburg, Pennsylvania

ProfessionalPosition Purpose: Establish and monitor Key Performance Indicators (KPIs). Accountable for quarterly provider directory management, online provider directory integrity, and overall provider data auditing.

  • Oversee all activities related to the management of provider data, including the development and management of training materials,policies and procedures

  • Conducts audits and recommends revisions to existing procedures and processes, and may establish new procedures as appropriate

  • Manage the encounter response files and the encounter error correction processes

  • Ensure updates (adds, changes and terminations) for new or existing provider records are made in accordance with Health Plan Service Level Agreements (SLAs)

  • Create and maintain KPIs, goals and objectives for provider data management department

  • Manage updates to and production of hard copy and on-line provider directories

  • Responsible for systems implementation as necessary

  • Manage the development of materials required for Request for Applications (RFA’s) and other business collateral required

  • Schedule monthly provider verifications. Ensure accuracy of provider enrollment specifications and specialty types and demographic

Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of contracting, provider data management, or data analytics experience. Supervisor/lead experience 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.

TITLE: Manager, Provider Data Management

LOCATION: Harrisburg, Pennsylvania

REQNUMBER: 1112090

COMPANY: Network Development & Contracting

POSITION TYPE: Professional