Provider Data Management Analyst I

Company: Oklahoma Complete Health
Location: Choctaw
Posted on: May 7, 2021

Job Description:

Position Purpose:

• Perform provider data management related activities based on plan and contract specifications and standard business rules includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems and applications to validate data is complete and accurate.
• Enroll providers and practitioners into the provider data management system
• Update provider and practitioners with claims payment and directory information
• Research, review, and make updates within the provider data management system per provider requests
• Perform quality service checks on systemic data, inclusive of claims processing and provider directory information
• Perform research and resolve problems as necessaryEducation/Experience: Associate s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. 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.
  
  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. Associated topics: data analyst, data center, data engineer, data integration, data manager, data warehouse, database, erp, hbase, sybase

Keywords: Oklahoma Complete Health, Oklahoma City , Provider Data Management Analyst I, Professions , Choctaw, Oklahoma