Supervisor, Provider Data Management

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

• Manage the daily operations of all provider data management functions • Direct provider data management activities based on plan and contract specifications and standard business rules • Manage end-to-end provider data entry and maintenance for claims payment, member assignment, and directory display • Investigate and resolve complex provider data management issues • Identify trends and recommend improvements to mitigate potential issues • Lead task assignment for team workflow and distribution • Monitor team performance against provider data quality benchmarks • Facilitate meetings with Health Plan representatives • Train and mentor Provider Data Management Analyst I, II, and Team Leads • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Candidates must be located in Indiana • Experience with provider data management, Portico, and CenProv is highly preferred • Bachelor’s degree in related field or equivalent experience • 3+ years of combined management and provider data management, data analysis, and customer service experience • Healthcare operations experience preferably in claims processing, billing, provider relations or contracting • Experience in a managed care, insurance, or medical office environment • Experience performing and leading teams

🏖️ Benefits

• Competitive pay • Health insurance • 401K • 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

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