Manager, Provider Data Management
Core
Manage provider data management projects, policies, and procedures including directories and contract setup to support claims adjudication and operational efficiency for the Illinois Health Plan.
Role type
Manager, Provider Data Management
Builds
Provider directories, contract setups, data analysis programs, and reporting workflows
Domain
Health Insurance / Provider Data Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Provider data management, provider reimbursement, claims processing, business applications, project management, policy development, data analysis, workflow design, cost-benefit analysis, staff supervision
Preferred skills
Provider directory experience, leadership experience with direct reports
Technologies
Business applications for provider data, reimbursement, and claims processing
Responsibilities
Supervise staff and monitor performance metrics, maintain provider data integrity guidelines, design and develop data workflows and protocols, manage input data from internal and external sources, develop cost-benefit analyses for projects, conduct training on policies and procedures, resolve contract interpretation issues, define reporting initiatives
Seniority
Manager, hands-on leadership
