PNOA Provider Data Management Representative jobs in United States
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MedImpact Healthcare Systems, Inc. · 3 weeks ago

PNOA Provider Data Management Representative

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join their team as a PNOA Provider Data Management Representative. This role involves entering and maintaining provider data in the Precis database to ensure accuracy and efficiency, while also providing excellent customer service to internal and external clients.

Health CarePharmaceutical
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Responsibilities

Collects, reviews and inputs demographic data and provider contracts into the Precis database
Enters and reviews provider roster loads and adds/deletes/changes
Validates existing data using judgment, existing knowledge and external research tools to make necessary corrections
Verifies, researches and updates provider Tax ID information
Works with Information Technology to get provider data in our system
Maintains set-up and requests through the HMA, LLC Provider Portal

Qualification

Data validationHealthcare backgroundMedical terminologyComputer literacyCustomer service skillsInterpersonal communicationTime managementAdaptabilityInitiative

Required

High school diploma or general education diploma (GED) or equivalent
A minimum 1 year data validation experience
Must be computer literate
Demonstrates ability to appear for work on time
Follow directions from a supervisor
Interact well with co-workers
Understand and follow work rules and procedures
Comply with corporate policies, goals and objectives
Accept constructive criticism
Establish goals and objectives
Exhibit initiative and commitment
Ability to interpret a variety of detailed and complex instructions furnished in written, verbal, diagrams, or work and data flows
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
Ability to write reports, business correspondence, and procedure manuals
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
Demonstrates clear understanding of the nature of the business -- its products and services, goals, market, competitors and challenges
Actively demonstrates a personal concern for understanding client needs, ensuring the quality of products and services, maintains a high level of customer satisfaction, and contributes to continuous improvement of products and processes
Responds promptly, appropriately and effectively to requests, feedback and new developments, making sure that all relevant concerns and requirements are understood and addressed
Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions
Plans effectively to meet target deadlines, foresees delays and responds proactively, sets realistic timetables, utilizes time efficiently, and completes projects on time
Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others' viewpoints, respecting differences and building strong relationships and networks
Proactively gathers and analyzes information, assesses situations and identifies challenges and opportunities, sees what needs to be done and takes appropriate action
Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments

Preferred

Health Plan or Health Care background preferred
Knowledge of medical terminology preferred

Benefits

Medical / Dental / Vision / Wellness Programs
Paid Time Off / Company Paid Holidays
Incentive Compensation
401K with Company match
Life and Disability Insurance
Tuition Reimbursement
Employee Referral Bonus

Company

MedImpact Healthcare Systems, Inc.

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MedImpact is the nation’s largest independent health solutions and pharmacy benefit company, serving commercial health plans, government programs, self insured/employer groups, and millions of consumers.

Funding

Current Stage
Late Stage
Total Funding
$1.38M
2013-09-19Seed· $1.38M

Leadership Team

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Frank Bunton
VP, CISO (Chief Information Security Officer)
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Larry Biggs
Manager, Information Security
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Company data provided by crunchbase