Manager, Provider Data Automation, Analysis & Audit

Centene Corporation•St. David's, MO

About The Position

You could be the one who changes everything for our 28 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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Required: Strong SQL experience, including writing complex queries and extracting data from multiple databases. Preferred: Healthcare industry experience. Position Purpose: The Manager of Provider Data Automation, Analysis & Audit will oversee development of automated batch loads of provider data, all reporting and data submissions related to provider records, and development and implementation of audit processes to ensure the accuracy of both automated batch loads and reporting. Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports. Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues Oversees audit of provider data records Oversees provider data department staff responsible for development and implementation of automated batch data loads.

Requirements

Bachelor’s degree and 4 years of relevant experience required.
Project management experience and the ability to develop system business requirements are required.
3+ years of supervisory/management experience required.
Strong SQL experience, including writing complex queries and extracting data from multiple databases.

Nice To Haves

Healthcare industry experience.
Preferred experience with Portico, Amisys, CenProv.

Responsibilities

Oversee development of automated batch loads of provider data
Oversee all reporting and data submissions related to provider records
Oversee development and implementation of audit processes to ensure the accuracy of both automated batch loads and reporting
Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports
Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues
Oversees audit of provider data records
Oversees provider data department staff responsible for development and implementation of automated batch data loads.