Supervisor, Provider Data Management
Core
Manage daily operations of provider data management functions, ensuring accurate data entry, validation, and resolution of data issues to support claims payment and member assignment.
Role type
Senior IC provider data management supervisor
Builds
Accurate provider data directories and claims payment infrastructure
Domain
Healthcare operations / Insurance
Required skills
Provider data management, data analysis, team leadership, workflow management, data quality benchmarking, stakeholder facilitation, training and mentoring
Preferred skills
Healthcare operations experience (claims processing, billing, provider relations, contracting), managed care or insurance environment experience
Technologies
Multiple systems and applications for data validation and entry
Responsibilities
Manage end-to-end provider data entry and maintenance; Investigate and resolve complex provider data issues; Identify trends and recommend improvements; Lead task assignment for team workflow; Monitor team performance against data quality benchmarks; Facilitate meetings with Health Plan representatives; Train and mentor analysts and team leads