Provider Data Management Analyst I

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🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $19 - $32 / hour

⏰ Full Time

🟢 Junior

🧐 Business Analyst

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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

• Perform provider data management activities based on plan and contract specifications and standard business rules • Analyze and enter data • Review data via internet sites and other systems • Use multiple systems and applications to validate data completeness and accuracy • Manage provider enrollment and data updates • Ensure claims and provider directory accuracy • Resolve system issues through research and quality checks • Enroll providers and practitioners into the provider data management system • Update provider and practitioners with claims payment and directory information • Research, review, and update the provider data management system per provider requests • Perform quality service checks on systemic data, including claims processing and provider directory information • 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 • Experience preferably with healthcare operations, including 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 • Provider enrollment experience highly preferred • Provider relations experience highly preferred • Data management experience highly preferred • Strong organizational skills • Excellent time management skills • Ability to manage competing priorities • Central Time Zone residents • 100% remote work

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity