We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.
The Provider Data Manager, will play a crucial role in overseeing the day-to-day activities of our provider data team, ensuring accuracy, efficiency, and adherence to quality standards. You will report directly to the Director of Provider Data Management and collaborate closely with cross-functional teams to enhance our provider data processes.
Responsibilities Include:
Ensure the accuracy, completeness, and integrity of provider data within our systems, making certain that all provider information is up-to-date and compliant with industry regulations.
Act as liaison between Centivo and external data partners to communicate requirements and ensure the receipt of provider data that facilitates platform load.
Collaborate with the Director of Provider Data Management to establish team goals, strategies, and performance metrics.
Monitor and manage daily provider data operational activities.
Resolve escalated issues from team members and internal/external stakeholders related to provider data discrepancies, ensuring timely resolution.
Analyze and report on key performance indicators, identifying trends and opportunities for process improvement.
Develop and maintain strong working relationships with cross functional teams including product management, technical teams and provider relations to drive efficient data management processes.
Participate in the development and implementation of training programs for team members to enhance their skills and knowledge.
Contribute to the development and optimization of provider data management workflows and technologies.
Stay informed about industry trends, regulatory changes, and best practices in provider data management to ensure compliance and competitiveness.
Qualifications:
Required Skills and Abilities:
Strong understanding of healthcare provider data, including provider demographics, terminology, contract details, credentialing processes, and network participation.
Experience with data analysis applications (e.g., SQL, Excel, Microsoft Access).
Familiarity with healthcare provider attributes and platforms.
Excellent analytical, problem-solving, and decision-making skills.
Exceptional attention to detail and accuracy.
Excellent verbal, written, and presentation skills with a demonstrated ability to effectively communicate technical and business issues and solutions to multiple organizational levels internally and externally.
Knowledge of healthcare regulations and compliance related to provider data management (HIPAA, NCQA, etc.).
Proven track record of process improvement and optimizing operational efficiency.
Ability to adapt to a fast-paced and evolving environment.
Education and Experience:
Bachelors degree in Healthcare Administration, Business Administration, Information Management, or related field OR equivalent experience.
Minimum of 5 years of experience in provider data management, healthcare operations, or related roles.
Work Location:
This position is remote
Who we are:
Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.
Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
Similar Jobs
What We Do
Centivo is a new type of health plan anchored around leading providers of value-based care. Centivo saves self-funded employers 15 percent or more compared to traditional insurance carriers and is easy to use for employers and employees.
Our mission is to bring affordable, high-quality healthcare to the millions of working Americans who struggle to pay their healthcare bills. With Centivo, employers can offer their employees affordable and predictable costs, a high-tech member experience, exceptional service, and a range of benefit options including both proprietary primary care-centered ACO models as well as traditional networks.
