Provider Data Coordinator I - Managed Care

Centene
80d$19 - $32Remote

About The Position

With Centene's Alabama Health Plan, you will perform day to day functions to maintain appropriate provider databases and create reports to monitor network compliance with State requirements. Create and maintain appropriate databases, including: contract network, authorization, third party liability, provider set up corrections, check requests, among others. Design and generate reports to monitor department activity and State compliance. Update the delegated entity Medicare and Medicaid Attachments on monthly basis. Provide appropriate reports and statistical data to other department designees for the necessary follow up and resolution. General administrative support of assigned department.

Requirements

  • High school diploma or equivalent.
  • 1+ years of provider data or network administration experience, preferably in managed care.
  • Proficient in Microsoft Office applications, preferably Access and Excel.
  • Experience with data management in large databases, reporting and analysis preferred.

Nice To Haves

  • Associate's degree in related field preferred.
  • Demonstrated problem solving skills.
  • Written and verbal communication skills.
  • Experience with Microsoft Outlook/Edge/Chrome.

Responsibilities

  • Maintain appropriate provider databases.
  • Create reports to monitor network compliance with State requirements.
  • Design and generate reports to monitor department activity and State compliance.
  • Update the delegated entity Medicare and Medicaid Attachments on a monthly basis.
  • Provide reports and statistical data to other department designees.
  • General administrative support of assigned department.

Benefits

  • Competitive pay.
  • Health insurance.
  • 401K and stock purchase plans.
  • Tuition reimbursement.
  • Paid time off plus holidays.
  • Flexible approach to work with remote, hybrid, field or office work schedules.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Insurance Carriers and Related Activities

Education Level

High school or GED

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