Are you looking for a New Job or Looking for better opportunities?
We got a New Job Opening for
Full Details :
Company Name : Fidelis Care
Location : Long Island City, NY 11101
Position : Provider Data Coordinator II (Remote – NY)
Job Description : You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Perform day to day functions to inbound requests and maintain provider database. Audit analyses on completed requests and monitor compliance status of submitted requests.
Analyze inbound request to determine accuracy and route request to provider changes or other cross functional teams
Maintain provider data management systems for accuracy
Handle and resolve provider data issues, such as mass change updates, limited reconciliations and direct submissions of urgent requests
Coordinate provider data between the health plan database and various internal databases
Participate in reconciliation and provider data projects
Review, investigate and resolve inquiries regarding loaded providers that may have issues reported from internal and external customers
Submit daily and weekly internal and external status reports
Initiate and process provider add, change and termination forms
Track, update and audit provider information in database
Assist in Corporate audit activities or requests for claims provider set up
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
Education/Experience:
High school diploma or equivalent. Associate’s degree in related field preferred. 3+ years of provider data or network administration experience, preferably in managed care. Proficient in Microsoft Access and Excel applications. Experience with data management in large databases, reporting, and analysis preferred.
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.
This post is listed Under New York jobs
Disclaimer : Localpublic.in works to publish latest job info only and is no where responsible for any errors. Users must Research on their own before joining any company