Provider Data Coordinator II jobs in United States
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Fidelis Care - New York · 1 day ago

Provider Data Coordinator II

positionGetzville, NY
timeFull-time
remoteHybrid
seniorityMid Level
money$23.23/hr - $39.61/hr
date3+ years exp

Centene is transforming the health of our communities, one person at a time. The Provider Data Coordinator II will perform day-to-day functions to manage inbound requests and maintain the provider database, ensuring accuracy and compliance.

AssociationCommunitiesHealth CareInsurance

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

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

Company

Fidelis Care - New York

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Fidelis Care - New York is proud to provide quality, affordable health coverage for more than 2 million members, at all stages of life.
dateFounded in 1993
location
Rego Park, New York, USA
people-size1001-5000 employees
web-link
https://www.fideliscare.org/

Funding

Current Stage
Late Stage
Total Funding
unknown
2017-09-13Acquired

Leadership Team

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Thomas Halloran
EVP & CFO
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Andi Gillentine
Plan Chief Operating Officer
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Recent News

Rochester Business Journal
Brockport-based health center wins $20K grant supporting rural health
2025-11-29
PR Newswire
Ambetter from Fidelis Care Offers Health Insurance in New York State in 2026
2025-11-08
Central New York Business Journal
Fidelis Care awards $10K grant to Utica’s Integrated Community Alternatives Network
2025-11-06
Company data provided by crunchbase