Provider Data Management Specialist

Job Summary

The Clinical Integration (CI) and Accountable Care Organization (ACO) programs are clinically integrated physician networks sponsored by Dignity Health (DH). The Provider Data Management Specialist is an employee of Dignity Health Management Service and supports network development to ensure the integrity, accuracy, and completeness of provider information across internal systems, enabling efficient operations, compliance, and network performance.

Responsibilities

• Provides data management support services to Dignity Health's CI / ACO Networks Employer Relations and Valued Based Operations (VBO).
• Gathers, maintains accurate provider data, and performs periodic provider data reconciliations with multiple data sources including 3rd party payors within the Salesforce platform.
• Generates reporting on the provider network and conducts review of network adequacy and capabilities.
• Maintains and transmits fee schedules, as necessary, to third-party administrators (TPAs) and other appropriate stakeholders.
• Provides customer support services to Dignity Health CI / ACO Networks and VBO's team.
• Ensures remote work and PST business hours compliance.

Minimum Qualifications

Preferred Qualifications

Where You'll Work

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. The organization continues to develop Dignity Health's Medicaid population health care management pathways using leading technology and integrated administrative systems.

Pay Range

$36.00 - $51.08 / hour

Seniority level

Not Applicable

Employment type

Full-time

Job function

Health Care Provider

Industries

Wellness and Fitness Services, Hospitals and Health Care, and Medical Practices

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