Provider Data Management Analyst I

Centene Corporation•Northampton, MA

19h•$19 - $33

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. Position Purpose: Perform 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, and usage of multiple systems and applications to validate data is complete and accurate. Enroll providers and practitioners into the provider data management system Update provider and practitioners with claims payment and directory information Research, review, and make updates within the provider data management system per provider requests Perform quality service checks on systemic data, inclusive of claims processing and provider directory information Perform research and resolve problems as necessary

Requirements

Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment.
Experience performing data analysis in Excel or similar tools strongly preferred.

Responsibilities

Enroll providers and practitioners into the provider data management system
Update provider and practitioners with claims payment and directory information
Research, review, and make updates within the provider data management system per provider requests
Perform quality service checks on systemic data, inclusive of claims processing and provider directory information
Perform research and resolve problems as necessary