Position Purpose: Maintain accurate databases and reports to monitor network compliance with State requirements
Create and maintain multiple databases, including, contract provider network, prior authorization, third party liability, provider set ups and related corrections
Oversee the provider termination process including adding and changing new or existing provider records in the medical information system
Schedule monthly provider verifications regarding provider enrollment specifications and demographic changes
Update delegated provider Medicare and Medicaid documents on a monthly and ad hoc basis and ensure state compliance
Provide appropriate reports and statistical data to other department designees for review, follow-up and resolution
Perform general administrative tasks in support of assigned department
Education/Experience: High school diploma or equivalent. 2 years of provider data or network administration experience, preferably in a managed care setting.
Proficient in Microsoft Office applications, preferably Access and Excel. Previous experience with database management, reporting and analysis preferred. Associate's degree in health care or a related field preferred.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.