Provider Data Management Analyst I

4 hours ago

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Centene Corporation

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Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• 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 • 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

🏖️ 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