Provider Data Management Analyst I

Centene Corporation; Orlando (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Provider Data Management Analyst I to manage provider data and ensure accuracy. The role involves data entry, analysis, and quality checks, contributing to the health of communities. Competitive benefits and flexible work options are offered.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 1+ years of data entry, analysis, or customer service experience, preferably in healthcare operations.
• Experience with 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 information, including claims payment and directory data.
• Perform quality checks on systemic data.

Skills

Data Analysis

Customer Service

Healthcare

Education

Associate’s Degree

High School Diploma

Tools

Excel

Job description

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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.

Position Purpose

Perform provider data management activities based on plan and contract specifications and standard business rules. This includes data analysis and entry, review of data via internet sites and other systems, and using multiple systems and applications to validate data for completeness and accuracy.

Responsibilities:

1. Enroll providers and practitioners into the provider data management system.
2. Update provider and practitioner information, including claims payment and directory data.
3. Research, review, and update provider data per provider requests.
4. Perform quality checks on systemic data, including claims processing and provider directory information.
5. Research and resolve data issues as necessary.

Highly Preferred:

• Healthcare experience
• Remote work experience

Education/Experience:

Associate’s degree or high school diploma/equivalent with 1+ years of data entry, analysis, or customer service experience, preferably in healthcare operations, provider data management, or credentialing within managed care, insurance, or medical office settings. Experience with data analysis in Excel or similar tools is strongly preferred.

Pay Range: $19.04 - $32.35 per hour

Centene offers comprehensive benefits including competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, and flexible work schedules (remote, hybrid, field, or office). Actual pay depends on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Applicants with arrest or conviction records will be considered in accordance with applicable laws.

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Information Technology
• Industries: Hospitals and Health Care, Insurance