Provider Data Manager

Posted 18 days agoViewed

💎 Seniority level: Manager, 5 years

🔍 Industry: Healthcare

🏢 Company: Centivo

⏳ Experience: 5 years

Requirements:

Strong understanding of healthcare provider data, including provider demographics, contract details, credentialing processes, and network participation.

Proficiency in using provider data management systems and software.

Excellent analytical, problem-solving, and decision-making skills.

Exceptional attention to detail and accuracy.

Excellent interpersonal and communication skills, with the ability to collaborate effectively across departments and with external partners.

Knowledge of healthcare regulations and compliance related to provider data management (HIPAA, NCQA, etc.).

Proven track record of process improvement and optimizing operational efficiency.

Ability to adapt to a fast-paced and evolving environment.

Responsibilities:

Ensure the accuracy, completeness, and integrity of provider data within our systems, making certain that all provider information is up-to-date and compliant with industry regulations.

Collaborate with the Director of Provider Data Management to establish team goals, strategies, and performance metrics.

Monitor and manage daily provider data operational activities.

Resolve escalated issues from team members and internal/external stakeholders related to provider data discrepancies, ensuring timely resolution.

Analyze and report on key performance indicators, identifying trends and opportunities for process improvement.

Develop and maintain strong working relationships with provider network teams, credentialing teams, and other business units to drive efficient data management processes.

Participate in the development and implementation of training programs for team members to enhance their skills and knowledge.

Contribute to the development and optimization of provider data management workflows and technologies.

Stay informed about industry trends, regulatory changes, and best practices in provider data management to ensure compliance and competitiveness.

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