Remote Provider Data Management Lead

centene; Town of Florida (NY); Remote; USD 56,000 - 101,000; Full time

Job summary

Centene is seeking a Manager to oversee the daily operations of provider data management, ensuring accurate setup for claims payment, member assignment and directory display.

You will lead a team, investigate complex data issues, identify trends, train Analysts I–II and Team Leads, and collaborate with Health Plan representatives, all within standard business hours and a fully remote US-based model.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 3+ years of combined management and provider data management experience.
• Experience in healthcare operations and leading teams.

Responsibilities

• Manage the end-to-end provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display.
• Investigate and resolve complex provider data management issues.
• Identify trends and recommend improvements to mitigate potential issues.
• Lead task assignment for team’s workflow and distribution.
• Monitor team performance to ensure established and provider data quality benchmarks are met.
• Facilitate meetings with Health Plan representatives.
• Train and mentor Provider Data Management Analyst I, II, and Team Leads.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Data management

Data analysis

Team leadership

Customer service

Education

Bachelor’s degree or equivalent experience

Job description

Centene is seeking a Manager to oversee the daily operations of provider data management, ensuring accurate setup for claims payment, member assignment and directory display.

You will lead a team, investigate complex data issues, identify trends, train Analysts I–II and Team Leads, and collaborate with Health Plan representatives, all within standard business hours and a fully remote US-based model.