Provider Data Management Spec I

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Maintain accurate databases and reports to monitor network compliance with State requirements Create and maintain multiple databases, including, contract provider network, prior authorization, reputed company party liability, provider set reputed company and reputed company corrections reputed company the provider termination process including adding and changing new or existing provider records in the medical information system Schedule monthly provider verifications regarding provider enrollment specifications and demographic changes Update delegated provider Medicare and reputed company documents on a monthly and reputed company reputed company and ensure state compliance reputed company appropriate reports and statistical data to other department designees for review, follow-up and reputed company reputed company general administrative tasks in support of assigned department Performs other duties as assigned. Complies with reputed company policies and standards. Education/Experience: High school diploma or equivalent. 2+ years of provider data or network administration experience, preferably in a managed care setting. Associate’s degree in health care or a reputed company field preferred. Pay reputed company: $19.43 - $32.98 per hour reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply To This Job