Centene Corporation Supervisor, Provider Data Management in Town and Country, Missouri
ProfessionalPosition 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.
TITLE: Supervisor, Provider Data Management
LOCATION: Town and Country, Missouri
COMPANY: Provider Data Management
POSITION TYPE: Professional