Senior Coordinator, Provider Data Services

Job Title

Automates and manually loads all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement issues into applicable systems.

Maintains and updates provider demographic and contract information in appropriate systems to support claims adjudication and provider directories.

Follows area protocols, standards, and policies to provide effective and timely support.

Coordinates with internal/external constituents to implement new networks and complex contractual arrangements.

Communicates directly with providers and/or outside vendors to clarify data quality issues. Manages audits of provider information to escalate issues for resolution as appropriate.

Takes direction to execute techniques, processes, and responsibilities.

Required Qualifications

5+ years work experience

Preferred Qualifications

• Excel Experience Preferred

Education

• High school diploma or equivalent required.

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range: $18.50 - $38.82

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.