[Hiring] Supervisor, Provider Data Management @Centene Corporation

Role Description

Manage the daily operations of all provider data management functions. Direct provider data management related activities based on plan and contract specifications and standard business rules, including:

• Data analysis and entry
• Review of data via internet sites and other systems
• Usage of multiple systems and applications to validate data is complete and accurate
• Investigation and resolution of data issues

Key Details:

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• This is a fully remote position, allowing employees to work from anywhere in the United States.
• Standard working hours are 8:00 AM to 5:00 PM ET.

Responsibilities include:

• Manage the end-to-end provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment, and directory display.
• Investigate and resolve complex provider data management issues.
• Identify trends and recommend improvements to mitigate potential issues.
• Lead task assignment for team’s workflow and distribution.
• Monitor team performance to ensure established and provider data quality benchmarks are met.
• Facilitate meetings with Health Plan representatives.
• Train and mentor Provider Data Management Analyst I, II, and Team Leads.
• Perform other duties as assigned.
• Comply with all policies and standards.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 3+ years of combined management and provider data management, data analysis, and customer service experience preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting).
• Experience in a managed care, insurance, or medical office environment.
• Experience performing and leading teams.

Requirements

• Pay Range: $56,200.00 - $101,000.00 per year.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field, or office work schedules

Benefits may be subject to program eligibility.

Company Description

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.