Provider Data Coordinator I

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: Perform day to day functions to maintain appropriate databases and create reports to monitor network compliance with State requirements.

• Create and maintain appropriate databases, including: contract network, authorization, third party liability, provider set up corrections, check requests, among others
• Design and generate reports to monitor department activity and State compliance
• Update the delegated entity Medicare and Medicaid Attachments on monthly basis
• Provide appropriate reports and statistical data to other department designees for the necessary follow up and resolution
• General administrative support of assigned department

Highly Preferred Experience

Healthcare systems

Payments to Providers

Provider Data

Reading Provider Contracts

Cenprov or Portico software

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid 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-related 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.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act