Provider Data Management Analyst I

Centene; United States; Remote; Full time

Job summary

Join a leading healthcare organization as a Provider Data Management Specialist. You will be responsible for managing provider data, ensuring accuracy and completeness, and resolving any data-related issues. With a commitment to community health, Centene offers flexible work arrangements and a comprehensive benefits package. Ideal candidates have experience in data entry and healthcare operations, making a significant impact on our 28 million members.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Arrangements

Qualifications

• 1+ years of data entry, analysis, or customer service experience in healthcare operations.
• Experience with data analysis in Excel or similar tools strongly preferred.

Responsibilities

• Perform provider data management activities based on plan and contract specifications.
• Enroll providers and update practitioner information in the data management system.
• Research and resolve data-related problems as needed.

Skills

Data Analysis

Customer Service

Education

Associate’s Degree

High School Diploma

Tools

Excel

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.

Position Purpose: Perform provider data management activities based on plan and contract specifications and standard business rules. This includes data analysis and entry, reviewing data via internet sites and other systems, and using multiple systems and applications to ensure data completeness and accuracy.

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

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 such as claims processing, billing, provider relations, or credentialing within a managed care, insurance, or medical office environment. Experience with data analysis in Excel or similar tools is strongly preferred.

Pay Range: $19.04 - $32.35 per hour

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work arrangements (remote, hybrid, field, or office schedules). Actual pay will be adjusted based on individual skills, experience, education, and other job-related factors permitted by law. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

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

About the company

Centene Corporation is a publicly traded managed care company based in St.