BusinessOperations – Provider Data Management Analyst 1 Provider Data Management Analyst 1 Position Available In [Unknown county], Missouri

BusinessOperations – Provider Data Management Analyst 1 Provider Data Management Analyst 1#25-61650
Various, MO
All On-site Job Description

Job Description:

Position Purpose:

Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems and applications to validate data is complete and accurate.

Education/Experience:

Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.
Comments for

Vendors:

EEO:

“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” ========
Centene Job Description Story Behind the Need – Business Group & Key Projects Health plan or business unit
Team culture
Surrounding team & key projects
Purpose of this team
Reason for the request
Motivators for this need
Any additional upcoming hiring needs? Home State Health
Great
Wellcare assistance
Provider Data Management
Business fluctuation
Business fluctuation
No
Typical Day in the Role Daily schedule & OT expectations
Typical task breakdown and rhythm
Interaction level with team
Work environment description Will work tickets from a SharePoint site. Review Portico/Xcelys. Submit tickets in CenProv/PCA. Respond to provider inquiries via email. Analysts generally process both standard and complex requests from internal and external partners containing a small number of updates. Excel skills are required. Analysts’ day to day work is predominately generated from our Sharepoint site. Position is remote. Will be engaged with team members. Possible OT. Compelling Story & Candidate Value Proposition What makes this role interesting?
Points about team culture
Competitive market comparison
Unique selling points
Value added or experience gained Opportunity to make a difference in member care via back end data accuracy. Our team culture is great.
Candidate Requirements
Education/Certification

Required:

Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment.

Preferred:

Licensure

Required:

Preferred:

N/A Years of experience required
Disqualifiers
Best vs. average
Performance indicators Must haves: Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.

Nice to haves:

Disqualifiers:

TBD Performance indicators: We don’t have any specific metrics for this position. Best vs.

average:

Top 3 must-have hard skills
Level of experience with each
Stack-ranked by importance
Candidate Review & Selection 1 See Above
2 3 Candidate Review & Selection Shortlisting process
Second touchpoint for feedback
Interview Information

Onboard Process and Expectations Projected HM Candidate Review Date:

1-2 business days

Number and Type of Interviews:

1 interview, 2 interviewers on video
Extra Interview Prep for

Candidate:

N/A
Required Testing or Assessment (by Vendor): N/A
Manager Communication Preferences & Steps Background Check Requirements (List DFPS or other specialty checks here) Do you have any upcoming PTO? 7/7 thru 7/10, 7/25 thru 8/1 Colleagues to cc/delegate