Supervisor, Provider Data Management

Versant Health•Troy, NY

About The Position

The Supervisor of Provider Data Management (PDM) is responsible for the direct oversight of the PDM team, ensuring accurate, completeness, and timely provider data updates across the organizations’ various environments. This role will be the operational anchor and functional owner of the day-to-day activities of the team, to include inventory management and reporting, assignment management, team support, development and training, performance monitoring, and escalation resolution. Beyond primary and on-going tasks, this role also proactively identifies and assists in resolution design for systemic inefficiencies, while driving process improvement opportunities, and acting as a key bridge between the PDM team and cross-functional partners. The purpose of this role is to leverage data to inform decision-making, improve team efficiency, accuracy, and overall performance.

Requirements

Bachelor’s degree in business, Health Care Management or other related field preferred or in lieu of a degree, an equivalent combination of work experience and education
Previous supervisory experience in a relevant operational environment preferred
2 years of experience in provider/network data management or a related healthcare setting
Experience with ticketing systems, CRM, dashboard/data visualization tools
Strong analytical skills with the ability to interrogate large datasets and identify trends
Strong oral and written communication skills
Excellent analytical ability
Proficient in Microsoft Office suite
HIPAA & Security Requirements: All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.

Responsibilities

Conduct daily routines to assess key metrics, including associate availability, incoming request volume, and current queue inventories to maintain database integrity
Triage the daily operations of the PDM team, managing workflows, assigning tasks, and monitoring queues to ensure adherence to established Service Level Agreements (SLAs)
Function as a Subject Matter Expert (SME) on provider data, leading root cause analysis on data errors and implementing corrective and preventative action plans
Ensure provider data is following all relevant federal and state regulations, including CMS, NCQA standards, and client agreements by developing and maintaining standards for database integrity and quality assurance
Develop and maintain comprehensive process documentation, training materials, and standard operating procedures (SOPs) for the PDM team.
Drive quality program adherence and provide coaching based upon the data made available by way of the program.
Engage in training and education opportunities to improve quality and effectiveness.
Act as a liaison and foster collaborative relationships for internal departments and external partners, resolving escalated issues and ensuring a seamless flow of provider data.
Lead discussions with management to align on daily priorities, resource deployment, and clearly communicate all new assignments and delivery commitments to the PDM associates.
Assemble and deliver an operational dashboard to PDM leadership to guide team priorities, resource deployment and KPIs.
Actively review and react to feedback from audits, error logs and quality metrics, translating insights into actionable steps for the team.
Perform other duties as the needs of the organization necessitate.