Lead Provider Data Management Analyst

Location: Chesterfield, MO
Position Purpose:
Serve as the lead for all provider data management activities providing guidance and support to other team members based on plan and contract specifications and standard business rules – includes 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, and investigation and resolution of data issues.

  • Serve as the subject matter expert for all activities related to provider data management
  • Perform complex and non routine provider set up
  • Investigate and resolve complex provider data management issues
  • Identify trends and recommend improvements to mitigate potential issues
  • Assist with team’s assignment workflow and distribution
  • Perform quality service checks on systemic data entered and updated by team
  • Provide training to team members to ensure accurate and timely provider data management set-up of providers

  • Associate’s degree in related field or equivalent experience.
  • 3+ years of provider data management and customer service experience preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting) or credentialing experience in a managed care, insurance, or medical office environment.
  • Experience performing data analysis in Excel or similar tools strongly preferred.
April A. Estes
Senior Recruiter
720-439-2609 Direct
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