Data Management Specialist: Vendor & Compliance

Wellpoint-Care-Network; Milwaukee (WI); On-site; USD 52,000 - 78,000; Full time

Job summary

Wellpoint Care Network in Milwaukee, WI seeks a Data Management Specialist to oversee vendor contract databases, ensure accurate documentation and timely reimbursement, and build strong vendor relationships that support high-quality services for children and families.

You will manage data in CoBRIS, track MOUs and DSFs for proper payments, train agencies on the data system, monitor insurance coverage, and coordinate with internal staff to identify data improvements, improve compliance, and

Qualifications

• Bachelor’s degree in related field; minimum five years of child welfare experience.
• Experience or familiarity with child welfare and eWiSACWIS.
• Experience with custom application service providers, such as CoBRIS, Avi Networks, Qwest, etc.
• Experience with project management and information tracking.
• Experience with Microsoft Office products.
• Ability to type 40-50 words per minute with 95% accuracy.
• Able to organize and track information in a systematic method.
• Demonstrate a strong awareness of and respect for different perspectives, and the ability to collaborate and communicate effectively and respectfully with individuals from a wide range of backgrounds.
• Demonstrate organizational skills, manage multiple priorities and able to respond quickly and courteously.
• Ability to maintain confidentiality when reading, typing, or hearing matters pertaining to clients.
• Proficient in the usage of computer software; demonstrate an understanding of computer file systems and computer software packages, e.g., Microsoft Office, Excel, Outlook, Teams, ADP, etc.
• Must be honest, dependable and able to meet deadlines; Self-motivated and able to work independently.
• Physical exam, drug screen, motor vehicle report, and background checks are required for this position.
• Required or reliable transportation to conduct on-site learning throughout the state.

Responsibilities

• Oversee CoBRIS regarding troubleshooting and collaborating with service providers, staff, and leaders to ensure accurate, thorough and timely documentation for payments.
• Maintain provider profiles and access rosters in CoBRIS.
• Track and manage service provider agreements and MOUs.
• Manage data entry for Discretionary Service Forms (DSFs) and MOUs for proper payment to vendors.
• Train agencies/providers on how to use data system and as new features are implemented.
• Liaison between FivePoints, internal staff and vendors around CoBRIS errors; coordinate investigative work around root causes.
• Inform CoBRIS Purchase of Service program improvements for review and potential incorporation into application updates.
• Act as an intermediary between vendors and staff to ensure that service data is entered as required and in a timely fashion with necessary detail.
• Develop and maintain positive and respectful working relationships with vendors.
• Data entry and management of new and existing Child & Family Well-being Program stakeholders into CoBRIS.
• Responsible for maintenance of current insurance coverage for vendors in the system.
• Assist with vendor auditing analysis – verify amount paid, obtain reports on vendor history for verification.
• For auditing purposes, monitor amount paid to network providers.
• Data entry into database for child welfare expenses (credit card purchases, bus tickets DSFs).
• Review/Monitor Eligibility of Medicaid.
• Train new case managers and leaders in data system.
• Record and maintain training videos for staff on the Purchase of Service program within CoBRIS.
• Assist in annual renewal of network service agreement.
• Assist in development and testing of databases updates and upgrades.
• Develop and utilize measurement tools and instruments for use in program assessment or data collection.
• Initiate, maintain, and monitor tracking systems to increase compliance within program expectations.
• Research and implement appropriate means of manipulating data in CoBRIS to circumvent functionality issues in the Purchase of Service program.
• Ensure reports are provided to appropriate program staff within determined timeframes.

Skills

Attention to detail

Strong communication

Organizational skills

Independent work

Team collaboration

Confidentiality

Education

Bachelor's degree in related field

Tools

CoBRIS

Avi Networks

Qwest

Microsoft Office

Excel

Outlook

Teams

ADP

Job description

Wellpoint Care Network in Milwaukee, WI seeks a Data Management Specialist to oversee vendor contract databases, ensure accurate documentation and timely reimbursement, and build strong vendor relationships that support high-quality services for children and families.

You will manage data in CoBRIS, track MOUs and DSFs for proper payments, train agencies on the data system, monitor insurance coverage, and coordinate with internal staff to identify data improvements, improve compliance, and