Provider Data Management Specialist I

Centene Corporation Austin , TX 78719

Posted 2 weeks ago

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.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Data Entry Specialist


Posted 2 days ago

VIEW JOBS 4/18/2019 12:00:00 AM 2019-07-17T00:00 <p>Zengistics is a third party logistics company (3PL) that specializes in helping shippers move their freight throughout North America. Our mission is to provide top-notch service to our shippers and carriers alike by utilizing our innovative Transportation Management Software. The effectiveness of this Software coupled with our desire to treat each load with care and urgency has helped put us on the map in the 3PL world and now we are seeking a dynamic, motivated <em>Master Data Associate </em>to join our team!</p><p><strong>Job Summary</strong></p><p>The Master Data Associate is responsible for inputting data to and from internal softwares, making outbound calls to verify information, double checking information to ensure complete accuracy. This Master Data Associate will report to the IT Manager. The specific duties will include but are not limited to:</p><ul> <li>Work to make all our master data in Turvo and other systems populated and accurate.</li> <li>Create new master data when needed and maintain existing master data.</li> <li>Create audit controls and maintain proper procedures for approval changes.</li> </ul><p><strong>Requirements</strong></p><ul> <li>High School Diploma</li> <li>Outstanding attention to detail</li> <li>Superior communication skills</li> <li>Interest in growing into IT/technical position is a bonus</li> </ul><p><strong>Benefits</strong></p><ul> <li>Competitive base salary </li> <li>Partial cell phone reimbursement</li> <li>100% company-paid health benefits</li> <li>Voted one of the best places to work in the Austin American Statesman 2018</li> </ul><ul> <li>Free parking </li> <li>401K Employer Match</li> <li>Fully stocked kitchen</li> <li>Monthly catered lunch</li> <li>Top of the line equipment and software programs</li> <li>Wellness Program</li> <li>Significant advancement opportunities for outstanding performers</li> <li>Brand new office on Austin’s Historic Rainey Street</li> <li>Casual dress code</li> </ul> Zengistics Austin TX

Provider Data Management Specialist I

Centene Corporation