Provider Data Sr. Manager — Equity Eligible & 401k

Optum; Pearland (TX); On-site; USD 92,000 - 164,000; Full time

Job summary

Kelsey-Seybold Clinic in Pearland, TX, is seeking a Sr. Mgr. Provider Data to lead data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT. The role focuses on maintaining a unified SQL-based provider data source supporting downstream systems such as claims and UM systems.

Ideal candidates bring extensive SQL experience, CMS regulation knowledge, and strong Microsoft Office skills. Leadership experience in a managed care environment is preferred.

Qualifications

• Extensive experience with SQL servers, Excel, Access, Microsoft Data Services.
• Knowledge of CMS regulations and managed care payment methodologies.
• Proficiency in Microsoft Office.

Responsibilities

• Oversee daily operations for provider data management across clinics and related entities.
• Maintain a unified SQL-based provider data source supporting downstream systems such as claims and directories.

Skills

SQL servers

Excel

Access

Microsoft Data Services

Tools

MD Staff

EPIC

provider data management software

SQL Server

Job description

Kelsey-Seybold Clinic in Pearland, TX, is seeking a Sr. Mgr. Provider Data to lead data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT. The role focuses on maintaining a unified SQL-based provider data source supporting downstream systems such as claims and UM systems.

Ideal candidates bring extensive SQL experience, CMS regulation knowledge, and strong Microsoft Office skills. Leadership experience in a managed care environment is preferred.