The Provider Data Management & Contract Load Professional 2 is responsible for administering the installation of assigned provider accounts. The Provider Data Management & Contract Load Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Provider Data Management & Contract Load Professional 2 performs set-up, database loading, and preparation of administrative documents and materials. Provides support to provider accounts by responding to inquiries, and resolving issues of concern. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Provider contract administration experience related to directories and claims payment
Intermediate experience using Microsoft Word, Excel, and Access
Strong verbal and written communication skills
Able to present material to internal leadership teams
1+ years of previous provider contract administration experience
Expertise in, Claims processing and provider data (ie: APEX, CAS, MTV and PIMS)
Associate's or Bachelor's Degree
Job Location: Forum I
Scheduled Weekly Hours
Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact email@example.com for assistance.