Configuration Specialist - CFHP

Community First Health Plans; San Antonio (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Community First Health Plans is seeking a data-focused professional to accurately maintain provider data across multiple subsystems and software used in our organization.

You will generate provider data reports and membership directories for internal teams and regulatory agencies, ensuring data accuracy for network development and managed care contracts.

Qualifications

• Associates degree in computer science, health care or related field preferred.
• Minimum of one year health care experience may be substituted for college education.

Responsibilities

• Maintain provider data across provider subsystems and related software.
• Generate provider data reports and membership directories for departments and regulatory agencies.
• Collaborate with Network Management and Provider Relations to ensure accurate provider setup.
• Consult with Data Management Coordinator, Configuration Manager and Network Management staff on network development and management contracts.

Skills

Data entry

Healthcare data

Reporting

Education

Associate degree in CS/healthcare

Healthcare experience substitution

Job description

POSITION SUMMARY/RESPONSIBILITIES:

Responsible for accurately maintaining provider data within the various Provider subsystems and related software utilized by Community First. Generate all provider data reports and membership directories as requested by various departments and regulatory agencies. Work collaboratively with Network Management and Provider Relations Department to ensure accurate Provider set up. Consults with the Data Management Coordinator, Configuration Manager and Network Management staff regarding plans to achieve the designated objectives of network development and managed care contracts.

EDUCATION/EXPERIENCE

Associates degree in computer science, health care or related field is preferred. Minimum of one year health care experience may be substituted for college education.