Provider Data Coordinator I

Employment Type

: Full-Time

Industry

: Miscellaneous



Description

Position Purpose: Perform day to day functions to maintain appropriate 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
  • Prepare monthly and quarterly reports of provider networks as requested
  • 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
  • Conduct internal audits of contract inventory, provider files and others, as well as routine network directory audits.
  • Triage group email to individuals for response.
  • Tracking, filing and distribution of contracts, as well as general administrative support of assigned department
  • Qualifications


    Education/Experience: High school diploma or equivalent. Associate’s degree in related field preferred. 1+ years of provider data or network administration experience, preferably in managed care. Proficient in Microsoft Office applications, preferably Access and Excel. Previous experience working with Macess and ABS strongly preferred, as well as experience with data management in large databases, reporting and analysis.


    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

    Job

    :Provider Data Management


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