Manager, Provider Data Automation, Analysis & Audit

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

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.

📋 Description

• Oversee development of automated batch loads of provider data. • Manage all reporting and data submissions related to provider records. • Develop and implement audit processes to ensure accuracy of automated batch loads and reporting. • Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports. • Develop reports to assure data integrity among multiple data sources and work with accountable departments to resolve issues. • Oversee audit of provider data records. • Manage provider data department staff responsible for development and implementation of automated batch data loads.

🎯 Requirements

• Strong SQL experience, including writing complex queries and extracting data from multiple databases. • Bachelor’s degree and 4 years of relevant experience required. • Project management experience and the ability to develop system business requirements are required. • 3+ years of supervisory/management experience required. • Preferred experience with Portico, Amisys, CenProv.

🏖️ 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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