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Provider Data Specialist

Iconma

Detroit, MI

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JOB DETAILS
LOCATION
Detroit, MI
POSTED
7 days ago
Our Client, a Health Insurance company, is looking for a Provider Data Specialist for their Detroit, MI/Hybrid location.
 
Responsibilities:
  • The original scope for bring specialist onboard is to work on PIAI projects provider data clean up measures.
  • Upon completion of projects, we are finding that these projects are turning into ongoing processes.
  • For example: State of Michigan BH (SOM BH) Audit provider outreach, Provider Data Confidence Value (PDCV) audit provider outreach, return mail, facility attestation noncompliant providers, daily CAQH Directory Verification task.
  • Validating provider information through auditing processes to reduce and eliminate inaccurate data for accuracy and auditing purposes.
  • Increase provider accuracy on members website by eliminating outdated information.
  • Perform several outreaches daily to providers across Michigan to verify certainty of demographic information such as phone numbers, address, accepting new patients.
  • Review and process results of audits for validity in collaboration with leadership to ensure accurate data is uploaded into database.
 
Requirements:
  • Excel
  • Access
  • Outlook
  • PORTICO
  • SF MACESS
  • FACETS
  • High school diploma
  • 3 to 5 years experience
 
Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities
 
ICONMA is an Equal Opportunity Employer. All qualified applicants will receive considerationfor employment without regard to any status protected by applicable law.

About the Company

I

Iconma

ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees

The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

COMPANY SIZE
2,000 to 2,499 employees
INDUSTRY
Management Consulting Services
EMPLOYEE BENEFITS
401K, Employee Referral Program, Life Insurance
FOUNDED
2000
WEBSITE
https://www.iconma.com/