Overview
Supervisor, Provider Data Management Jobs in Honolulu, Hawaii, USA at Ohana Health Plan
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access tocompetitive benefitsincluding a fresh perspective on workplaceflexibility.
PositionPurpose:
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 – 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.
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
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: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.
This position is 100% remote within the island of O’ahu, Honolulu, Hawaii. Candidates are required to reside within the island to be considered. Monthly in person team meetings at Honolulu office are required.
Pay Range: $54,000.00 – $97,100.00 per year
Centene offers acomprehensive benefits packageincluding:competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement,paid time offplus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience,education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is anequal opportunity employerthat is committed todiversity, 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
Title: Supervisor, Provider Data Management
Company: Ohana Health Plan
Location: Honolulu, Hawaii, USA
Category: Healthcare, Administrative/Clerical
