Provider Data Coordinator

Sante Health•Fresno, CA

5d•$22 - $32•Onsite

About The Position

A new opportunity awaits an Provider Data Coordinator at Santé Health System in Fresno, CA. Supporting the Provider Credentialing department, this full-time position is directly responsible for coordinating provider demographic data and ensuring demographic changes are processed timely and accurately along with ensuring accuracy of data as well as meeting all regulatory requirements as applicable.

Requirements

High School diploma/GED equivalent required.
Three years' experience in data analytics to include at least one year of experience in a healthcare setting preferred.
Experience and working knowledge of clinic operations.
Proficient user of MS Office Suite primarily Microsoft Excel.
Working knowledge of managed care environment and associated lines of business such as HMO/Commercial/Medicare/Medicaid.
Working knowledge of MD Staff platform and related systems and software technologies.
Ability to exercise initiative, judgment and decision-making.
Knowledge of local provider market.
Ability to work independently and as a team member.
Excellent time management, multi-tasking, and prioritization skills required.
Ability to effectively communicate with varied professional audiences.
Ability to assimilate and present information logically.
Ability to read, analyze and interpret provider demographic data.

Nice To Haves

Knowledge of database software applications is a plus.

Responsibilities

Serves as a key liaison between health plans, providers and internal staff to process, review and communicate provider demographic data
Maintains provider database and demographic data for health plan rosters/directories, ensuring that data accurately reflects provider participation on various panels.
Responsible for communicating demographic changes to health plans and internal staff via template report.
Generates reports, both routine and ad hoc to appropriate staff or delegated groups
Assists health plans with quarterly data validation queries
Responds to health plan inquiries related to provider demographic data
Accountable for optimal usage of the existing data systems and applications
Data mining, summarizing, validation and integrity of provider demographic data
Responsible for supporting Provider Credentialing initiatives including data entry, roster audits and overall provider roster.
Actively participate in health plan meetings, serving as the IPA's representative
Actively participate in cross-functional projects having an impact on Provider Credentialing
In the spirit of teamwork, employees are expected to follow any other job-related instructions and to perform any other job-related duties as requested.