Provider Data Management Specialist - Hybrid

Join The Team At Chorus Community Health Plans

Are you ready to make a difference? Do you believe in the power of health insurance to change lives? At Chorus Community Health Plans, we don't just offer jobs, we offer opportunities to be part of something bigger, something that matters. By joining our team, you'll become a vital force in improving access to healthcare, promoting health equity and strengthening communities. Join us in our mission to make quality healthcare accessible to all.

Chorus Community Health Plans (CCHP) is not just another health insurance company; we are a community committed to transforming lives. Founded in 2005, CCHP is a trusted health maintenance organization (HMO) based in Wisconsin. We are a part of Children's Wisconsin, one of the state's most respected healthcare organizations. At CCHP, our core values - Purpose, Collaboration, Health, Innovation, and Integrity - drive us to provide exceptional service to the individuals, children, and families we serve.

Our programs include :

• BadgerCare Plus : CCHP, the second largest BadgerCare health plan in Wisconsin serves over 130,000 adults and children in 27 counties in eastern Wisconsin.
• Care4Kids : We're the pioneers of Wisconsin's Foster Care Medical Home initiative, providing vital health care coordination services to 2,800 children in out-of-home care in Southeastern Wisconsin.
• Individual and Family Plans : Tailored to meet the diverse needs of individuals and families in a 15-county service area, our plans serve more than 13,000 members.

What we offer includes :

Your opportunity

We invite dedicated individuals to join our mission-driven organization. Be a part of something where your skills and enthusiasm translate into meaningful change. Discover a career where your passion meets purpose. Apply today and help us shape a healthier tomorrow.

Location : Remote but must be local to Milwaukee to attend training and meetings

This position ensures the accuracy and integrity of the provider database and monitors network compliance with State requirements. Ensures accuracy of high volume data and maintenance of provider demographic and contract files. Interprets provider contractual language and interprets guidelines independently. Maintains proper record keeping of all system support files. Acts as a liaison between health plan and providers and vendors.

Education

Experience

Knowledge / Skills / Abilities

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and / or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.