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Supervisor, Provider Data Management

Company: Centene Corporation
Location: Raleigh
Posted on: November 26, 2022

Job Description:

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Establish and monitor Key Performance Indicators (KPIs). Responsible for timely completion of provider data changes as well as the maintenance, integrity and validity of provider data and provider data policies, procedures and work processes. Manage and report on provider data integrity, accuracy, and trends and provide recommendations Oversee the resolution of claims payment and provider set-up issues Create and maintain KPIs and goals for provider data management team Plan, coordinate and participate in scheduled and unscheduled meetings with providers to conduct orientations, train providers on health plan policies and procedures, deliver materials or inquire about contracting with our health plan Report team performance metrics identifying and implementing improvements to increase and maintain productivity and effectiveness Collaborate with various cross-functional departments on complex and escalated issues to identify, report on and implement solutionsEducation/Experience: Bachelors degree in related field or equivalent experience. 3+ years of contracting or provider data management experience in a managed care or insurance environment. Proficient in Microsoft Office applications including Access and Excel. Supervisor/lead experience preferred.Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.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.TITLE: Supervisor, Provider Data ManagementLOCATION: Various, North CarolinaREQNUMBER: 1355693

Keywords: Centene Corporation, Raleigh , Supervisor, Provider Data Management, Executive , Raleigh, North Carolina

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