Supervisor, Provider Data Management
About The Position
Manage the daily operations of provider data management functions and direct related activities according to plan and contract specifications and standard business rules. The work includes provider data analysis and entry; reviewing information through internet sites and other systems; using multiple applications to validate data completeness and accuracy; and investigating and resolving data issues. The position manages end-to-end provider data entry and maintenance to support accurate, timely setup for claims payment, member assignment, and directory display. Candidates must be located in Indiana and authorized to work in the U.S. without current or future employment-based visa sponsorship.
Requirements
- Bachelor’s degree in a related field or equivalent experience.
- At least 3 years of combined management, provider data management, data analysis, and customer service experience.
- Experience performing work and leading teams.
- Must be located in Indiana.
- Must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship.
Nice To Haves
- Experience with provider data management, Portico, and CenProv.
- Healthcare operations experience, such as claims processing, billing, provider relations, or contracting, preferably in a managed care, insurance, or medical office environment.
Responsibilities
- Manage end-to-end provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment, and directory display.
- Investigate and resolve complex provider data management issues.
- Identify trends and recommend improvements to mitigate potential issues.
- Lead task assignment for the team’s workflow and distribution.
- Monitor team performance to ensure established provider data quality benchmarks are met.
- Facilitate meetings with Health Plan representatives.
- Train and mentor Provider Data Management Analyst I and II employees and Team Leads.
- Perform other duties as assigned.
- Comply with all policies and standards.
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
Manager
