You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time.
As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Work Location : Atlanta Office
Position Purpose : Oversee all the provider data management activities for the health plan. Reporting and data requirements for the health plan, including but not be limited to such activities as : encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for directory submissions, maintenance of data among multiple systems for integrity, operational scorecards, and other reporting and data requirements as defined by the plan.
- Oversee Provider Data Department including provider set up forms, maintenance of provider records and audit provider data records as well as management of all coordinator staff.
- Direct oversight for Credentialing function (in partnership with QI) ensuring the process between credentialing and provider data integrity is seamless.
- Create, validate and produce reports for state or other reporting needs.
- Support and participate in production of GeoAccess reports and provider network reports required for submission to the state on an ongoing basis.
- Coordinate with Provider Relations and Claims to address Network Data errors.
- Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues.
- Responsible for working with the QI department in the development of QI and credentialing reports.
- Accountable for any ad hoc reporting needs as defined by the health plan.
Education / Experience : Bachelor's degree in Business, Healthcare Administration, related field, or equivalent experience.
7+ years of combined project management, business analysis and process improvement experience, preferably in the healthcare, managed care, or government programs industry.
Experience in a management role, including responsibility for hiring, training, assigning work, and performance management of direct reports.
Provider data management and / or contracting experience preferred.
Pay Range : $108,700.00 - $201,000.00 per year
Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
Total compensation may also include additional forms of incentives.
Director, Reporting & Data Management
We are looking for a Director of Data & Analytics to be a key leader of the Digital Marketing team at WorldPay. Deep expertise in data management, creating Marketing dashboards and consistent reporting for multiple stakeholders. This individual will work closely with other department heads withi...
Audit Director - Data Management and Technology
Truist Audit Services Director - Data Management and Technology is responsible for coordinating and managing the delivery of value-added independent, objective risk-based technology internal audit assurance services for the Audit Committee and Executive Management. The Audit Director - Data Manageme...
Oracle Master Data Management Lead - Director
We help implement and effectively use broad technology offerings including Oracle Analytics and Data solutions along with enhanced Data Governance and Data Management capabilities to solve their business problems and achieve their strategic business goals. The Oracle Data and Analytics team, within ...
Director, Provider Data Management
Reporting and data requirements for the health plan, including but not be limited to such activities as: encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for directory submissi...
Audit Director - Data Management and Technology
Proactively develop and maintain mutually beneficial working relationships with senior management of assigned BUs. Demonstrated comprehensive knowledge of banking, technology, risk management, and audit practices, with the ability to understand the broader risk. Strong verbal and written communicati...
Director, Provider Data & Analytics
Oversee all of the reporting and data requirements for the health plan, including but not be limited to such activities as: encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for...
Senior Director Architecture - Enterprise Data Product/Data Management
As a Senior Director of Architecture, you will help lead the effort to create the technology target state for the Enterprise Data and Analytics Unit of a global, Dow 30 company. Hands on experience with Master Data Management solutions (Informatica). Organizational responsibility a segment of Techno...
Director, Provider Data & Analytics
Oversee all of the reporting and data requirements for the health plan, including but not be limited to such activities as: encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for...
Director, Provider Data & Analytics
Oversee all of the reporting and data requirements for the health plan, including but not be limited to such activities as: encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for...
Director, Offering Management – Data & AI
Director, Offering Management – Data & AI. The Offering Director will be responsible for providing high-end technical expertise across in data governance, modern data repositories, and advanced analytics solutions to help drive customer success. Solution and technical architecture expertise: A healt...