Manager, Provider Data Automation, Analysis & Audit

Centene Corporation; Austin (TX); Hybrid; USD 87,700 - 157,800; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements

Job summary

Centene Corporation is seeking a Manager of Provider Data Automation, Analysis & Audit in the United States. The role oversees automated provider data loads, reporting, and audit processes to ensure accuracy across sources. A Bachelor’s degree and 4+ years of relevant experience are required, with 3+ years in supervisory roles and strong SQL skills.

Preferred healthcare industry experience. The position offers flexible work arrangements including remote, hybrid, field, or office schedules.

Qualifications

• Bachelor’s degree and 4 years of relevant experience required.
• Project management experience and the ability to develop system business requirements are required.
• 3 years of supervisory/management experience required.

Responsibilities

• Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports.
• Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues.
• Oversees audit of provider data records.
• Oversees provider data department staff responsible for development and implementation of automated batch data loads.

Skills

SQL

Project management

Data analysis

Business requirements

Education

Bachelor's degree

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT

Required: Strong SQL experience, including writing complex queries and extracting data from multiple databases.

Preferred: Healthcare industry experience.

Position Purpose: The Manager of Provider Data Automation, Analysis & Audit will oversee development of automated batch loads of provider data, all reporting and data submissions related to provider records, and development and implementation of audit processes to ensure the accuracy of both automated batch loads and reporting.

• Create, validate and produce reports for state or other reporting needs, including GeoAccess and provider network reports.

• Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues

• Oversees audit of provider data records

• Oversees provider data department staff responsible for development and implementation of automated batch data loads.

Education/Experience: Bachelor’s degree and 4 years of relevant experience required. Project management experience and the ability to develop system business requirements are required. 3 years of supervisory/management experience required. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 – $157,800.00 per year

Centene offers a comprehensive benefits package including:

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act