Provider Data Management Analyst I

Centene Corporation

. Perform provider data management activities based on plan and contract specifications and standard business rules .

Posted 9/24/2026full-timeRemote • Missouri • United StatesJunior💰 $19 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider data management, including enrollment, claims processing, and data analysis. Proficient in utilizing systems for data validation and ensuring accuracy in provider directories and claims information.

Highest-signal resume keywords

Provider Data ManagementClaims ProcessingData Analysis in ExcelProvider EnrollmentHealthcare Operations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryData AnalysisProvider RelationsData ManagementClaims Processing

Soft Skills

Strong Organizational SkillsExcellent Time ManagementAbility to Manage Competing Priorities

Tools & Technologies

Provider Data Management SystemExcel

Industry Keywords

Healthcare OperationsManaged CareInsuranceMedical Office Environment

About the role

Key responsibilities & impact

Perform provider data management activities based on plan and contract specifications and standard business rules
Analyze and enter data
Review data via internet sites and other systems
Use multiple systems and applications to validate data completeness and accuracy
Manage provider enrollment and data updates
Ensure claims and provider directory accuracy
Resolve system issues through research and quality checks
Enroll providers and practitioners into the provider data management system
Update provider and practitioners with claims payment and directory information
Research, review, and update the provider data management system per provider requests
Perform quality service checks on systemic data, including claims processing and provider directory information
Research and resolve problems as necessary

Requirements

What you’ll need

Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience
Experience preferably with healthcare operations, including claims processing, billing, provider relations or contracting, provider data management, or credentialing in a managed care, insurance, or medical office environment
Experience performing data analysis in Excel or similar tools strongly preferred
Provider enrollment experience highly preferred
Provider relations experience highly preferred
Data management experience highly preferred
Strong organizational skills
Excellent time management skills
Ability to manage competing priorities
Central Time Zone residents
100% remote work

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity