[Hiring] Provider Data Management Specialist @Imagine360

Role Description

Imagine360 is seeking a Provider Data Management Specialist to join the team! The Provider Data Management Specialist is responsible for installation and ongoing maintenance of contracted provider data. This directly impacts the experience of the members, providers, and third-party administrators that access contracted providers and utilize provider look-up data.

Position Location: 100% remote

• Set up and load systems with new provider demographic information once contract is executed with the provider.
• Experience using SQL and data analytic tools for reporting and data analysis.
• Ensure the data loads meet quality standards.
• Participate in testing and audit activities related to data integrity and accuracy.
• Monitor and update data based on revised rosters received from health systems and other contracted providers in a timely manner.
• Ensure organized storage of all relevant provider documents.
• Investigates and resolves provider file inaccuracies and discrepancies, coordinating with other departments as necessary.
• Interact with provider offices to verify updates to provider information.
• Assist with provider education efforts on contracted status inquiries.
• Support provider contracting department with issue resolution and data needs as appropriate.
• Coordinate with Credentialing department to identify and update provider data based on provider credentialing efforts.
• Understanding department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Provide feedback on system limitations or expansion needs as a user of provider management database.
• Participate in any testing and validation of system changes and improvements.
• Other duties as assigned.

Qualifications

• Associate Degree or relevant experience.
• Previous provider data loading and maintenance.
• Previous health insurance/network experience.

Requirements

• Proficient in the MS Office Suite to include MS Word, Excel, and Outlook.
• Excellent organizational, interpersonal, presentation, facilitation, and communication skills.
• Demonstrated commitment to high professional ethical standards.
• Ability to adapt to a fast-paced, continually changing business and work environment while managing multiple priorities.
• Excellent follow-through skills, self-motivated and detail-oriented.
• Strong organizational skills to manage multiple projects, issues, and priorities effectively and simultaneously, with attention to detail.

Benefits

• Multiple Health plan options.
• Company paid employee premiums for disability and life insurance.
• Parental Leave Policy.
• 20 days PTO to start / 10 Paid Holidays.
• Tuition reimbursement.
• 401k Company contribution.
• Company paid Short & Long term Disability plus Life Insurance.
• Professional development initiatives / continuous learning opportunities.
• Opportunities to participate in and support the company's diversity and inclusion initiatives.