$120,122–$130,122 Per Year
Analysis Skills, Auditing, Career Development, Communication Skills, Computer Skills, Contract Management, Contract Review, Customer Relations, Data Management, Finance, Healthcare Administration, Managed Care, Microsoft Excel, Microsoft Word, Organizational Skills, People Management, Performance Management, Presentation/Verbal Skills, Problem Solving Skills, Project/Program Management, Provider Contracting, Time Management, Vendor/Supplier Evaluation, Writing Skills
Manager of Provider Data Management
Job Ref: TE0182
Category: Information Technology
Department: INFORMATION TECHNOLOGY
Location: 50 Water Street, 7th Floor, New York, NY 10004
Job Type: Regular
Employment Type: Full-Time
Work Arrangement: Hybrid
Salary Range: $120,122.00 - $130,122.00
Position Overview
The Manager of Provider Data Management is responsible for management of the Provider Maintenance team and related service functions.
Scope of Role & Responsibilities
- Manage special projects for the Provider Maintenance Department
- Represent Provider Maintenance in cross-departmental meetings and projects
- Manage contract review and provider record setup
- Assist staff to resolve issues in a timely manner and provide guidance so the staff can resolve similar
issues without assistance
- Work closely with CORE, Contracting, Credentialing, Finance, UM and Claims to ensure providers are
setup to be reimbursed accurately
- Oversee Provider Maintenance daily inventory, distribute special assignments to staff
- Manage CPI tickets assigned to Provider Maintenance
- Manage staff performance audits with provider/vendor record setup
- Manage provider sanction listing
- Work with staff in meeting personal and career development objectives.
Required Education, Training & Professional Experience
- Bachelor's Degree in health care administration or equivalent work experience
- Minimum of 5 years managed care experience including three years in a managerial capacity
Professional Competencies
- Integrity and Trust
- Customer Focus
- Proficiency in computer applications including Microsoft word and Excel
- Excellent oral and written communication skills
- Excellent organizational and analytical skills
#MPH50
#LI-Hybrid
M
Metroplus Health Plan Inc