Provider Data Coordinator II jobs in United States
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Centene Corporation ยท 1 month ago

Provider Data Coordinator II

positionUnited States
timeFull-time
remoteRemote
seniorityMid Level
money$23.23/hr - $39.61/hr
date3+ years exp

Centene Corporation is transforming the health of communities across the U.S. by providing essential services to its members. The Provider Data Coordinator II role involves maintaining the accuracy of the provider database, handling inbound requests, and ensuring compliance with data management processes.

Hospital & Health Care

Responsibilities

Analyze inbound request to determine accuracy and route request to provider changes or other cross functional teams
Maintain provider data management systems for accuracy
Handle and resolve provider data issues, such as mass change updates, limited reconciliations and direct submissions of urgent requests
Coordinate provider data between the health plan database and various internal databases
Participate in reconciliation and provider data projects
Review, investigate and resolve inquiries regarding loaded providers that may have issues reported from internal and external customers
Submit daily and weekly internal and external status reports
Initiate and process provider add, change and termination forms
Track, update and audit provider information in database
Assist in Corporate audit activities or requests for claims provider set up

Qualification

Provider data managementData analysisMicrosoft AccessMicrosoft ExcelNetwork administrationCommunication skillsProblem-solving skills

Required

High school diploma or equivalent
3+ years of provider data or network administration experience, preferably in managed care
Proficient in Microsoft Access and Excel applications
Experience with data management in large databases, reporting, and analysis

Preferred

Associate's degree in related field

Benefits

Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules

Company

Centene Corporation

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Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
dateFounded in 1984
location
Saint Louis, MO, US
people-size10001+ employees
web-link
http://www.centene.com

Funding

Current Stage
Late Stage

Leadership Team

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Beth Johnson
President and CEO, Coordinated Care
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Clyde White
President & CEO (New Hampshire Healthy Families)
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Recent News

Business Journals
Judge rules lawsuit alleging Centene fraud can proceed
2024-05-06
FierceHealthcare
Centene offers look at its Medicaid strategy in 2024
2024-04-28
Forbes
Centene Profits Eclipse $1 Billion Thanks To Big Obamacare Enrollment
2024-04-28
Company data provided by crunchbase