Provider Data Management Analyst I

Centene Corporation; Missouri; Hybrid; USD 27,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Holidays

Remote work options

Job summary

Centene Corporation seeks a Provider Data Management Associate to enroll providers, update directory and claims data, and resolve system issues through research and quality checks. The role emphasizes accuracy and timely data maintenance within Centene's provider networks.

Associate’s degree or equivalent with 1+ year of data entry or analytics in healthcare is preferred; Excel data analysis experience is a plus. This is a 100% remote, full-time position with competitive benefits and pay ranges.

Qualifications

• Associate’s degree or high school diploma/equivalent with 1+ years of data entry, analysis or customer service experience
• Healthcare operations experience (claims processing, provider relations, contracting, or credentialing) is preferred
• Experience performing data analysis in Excel or similar tools is strongly preferred

Responsibilities

• Enroll providers and practitioners into the provider data management system
• Update provider and practitioner with claims payment and directory information
• Research, review, and update data within the provider data management system per provider requests
• Perform quality service checks on systemic data, including claims processing and provider directory information
• Research and resolve problems as necessary

Skills

Provider Enrollment

Provider Relations

Data management

Multitasker

Time management

Organization

Education

Associate’s degree

High school diploma/equivalent

Tools

Excel

Job description

Position Purpose

Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems and applications to validate data is complete and accurate.

Key Details

Manage provider enrollment and data updates, ensure claims and directory accuracy, and resolve system issues through research and quality checks.

• Enroll providers and practitioners into the provider data management system
• Update provider and practitioners with claims payment and directory information
• Research, review, and make updates within the provider data management system per provider requests
• Perform quality service checks on systemic data, inclusive of claims processing and provider directory information
• Perform research and resolve problems as necessary

Highly Preferred Experience & Skills

• Provider Enrollment
• Provider Relations
• Data management
• Multitasker
• Strong Organizations skills
• Excellent time management skills
• Ability to manage competing priorities
• Central Time Zone residents
• 100% Remote

Education/Experience

Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.

Pay Range: $19.43 - $32.98 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and 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