Provider Data Management Specialist I
Company: Centene Corporation
Location: Lansing
Posted on: January 22, 2023
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Job Description:
You could be the one who changes everything for our 26 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you'll
have access to competitive benefits including a fresh perspective
on workplace flexibility.Position Purpose: Maintain accurate
databases and reports to monitor network compliance with State
requirements--- Create and maintain multiple databases, including,
contract provider network, prior authorization, third party
liability, provider set ups and related corrections--- Oversee the
provider termination process including adding and changing new or
existing provider records in the medical information system---
Schedule monthly provider verifications regarding provider
enrollment specifications and demographic changes--- Update
delegated provider Medicare and Medicaid documents on a monthly and
ad hoc basis and ensure state compliance--- Provide appropriate
reports and statistical data to other department designees for
review, follow-up and resolution--- Perform general administrative
tasks in support of assigned departmentEducation/Experience: High
school diploma or equivalent. 2+ years of provider data or network
administration experience, preferably in a managed care setting.
Proficient in Microsoft Office applications, preferably Access and
Excel. Previous experience with database management, reporting and
analysis preferred. Associate's degree in health care or a related
field preferred.For Sunflower plan only: 2+ years of experience,
preferably in a managed care setting.Our Comprehensive Benefits
Package: Flexible work solutions including remote options, hybrid
work schedules and dress flexibility, Competitive pay, Paid time
off including holidays, Health insurance coverage for you and your
dependents, 401(k) and stock purchase plans, Tuition reimbursement
and best-in-class training and development.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:** Provider Data Management
Specialist I**LOCATION:** Various, Michigan**REQNUMBER:**
1400494
Keywords: Centene Corporation, Lansing , Provider Data Management Specialist I, Executive , Lansing, Michigan
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