Manager, Provider Data Management

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Overseeing the activities that support all provider data management projects, policies, and procedures, primarily focusing on directories and provider contract setup tasks.

• Managing the development of reports that address the strategic and operational needs of the department.

• Supervising staff while directing and monitoring their activities.

• Conducting evaluations and providing monthly performance statistics to staff.

• Ensuring that staff members are achieving both quality and production targets.

• Maintaining a comprehensive understanding and working knowledge of business applications related to provider data management, provider reimbursement, and claims processing within the system.

• Identifying and implementing value-added programs and initiatives that bolster network contracting to enhance operational efficiency.

• Serving as the primary contact for internal departments on projects necessitating changes to business applications (provider, contracts, and claims).

• Collaborating with internal departments to ascertain project requirements and guarantee successful project completion.

• Partnering with the Information Systems Department on special projects, including crafting project briefs and aiding in the drafting and reviewing of BARRs and BSDs.

• Developing cost-benefit analyses for projects to aid in prioritization and justification.

• Providing training for both internal and external departments on policies and procedures related to provider data services.

• Addressing issues within internal departments concerning the interpretation of contracts or policies.

⛳️ Requirements

• A Bachelor's degree in business administration, Health Care, or a related field.

• 1-3 years of management experience in a business environment is required.

• At least three years of experience in a healthcare setting, preferably with a focus on provider relations, provider data services, information technology, or claims operations.

• Experience in developing new business processes and procedures.

• Three years of leadership experience with direct reports.

• Experience with provider directories.

🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K and stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements including remote, hybrid, field, or office work schedules.