Provider Data Management Specialist – Enrollment

🔥 4 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Sutherland

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1986

🤝 B2B

🤖 Artificial Intelligence

☁️ SaaS

💰 $300M Secondary Market on 2014-10

B2B • Artificial Intelligence • SaaS

Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.

📋 Description

• Accurately enter, update, and maintain provider information in internal systems • Validate provider credentialing data, contracts, and demographic data to ensure accuracy • Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations • Conduct routine audits and reconciliations to maintain data integrity. • Review and load the required data into the health plan system as the process guidelines require • Manage and monitor daily activities and meet the set targets • Work independently and complete the tasks in established timeframe with minimal supervision • Must be able to prioritize and complete all job duty requirements • Must be able to adhere to changes based on department and/or business

🎯 Requirements

• Excellent written communication skills in English with strong clarity and accuracy • Strong reading and listening comprehension skills in English to effectively process the requests • Well-developed analytical, logical, and organizational abilities for problem-solving • Ability to prioritize tasks effectively, ensuring timely and accurate processing of intakes • Keen attention to detail with the capability to multitask in a fast-paced environment • Strong customer focus, with a passion for delivering exceptional service and support • Proficiency in Microsoft Office Suite and experience navigating web-based applications • Typing speed of at least 40 words per minute, with accuracy and efficiency • Excellent internet connectivity

🏖️ Benefits

• Hard-Wired Productive and secure work environment, distraction-free.