Provider Data Maintenance Team Leader

PACIFICSOURCE

. Supervise and guide assigned team members regarding company policies, procedures, and workflow .

Posted 9/24/2026full-timeRemote • North Carolina • United StatesSenior💰 $56,780 - $96,526 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong leadership and supervisory skills in managing operations staff, fostering teamwork, and implementing training programs. Proficient in evaluating performance metrics, ensuring compliance with regulatory standards, and driving continuous improvement initiatives.

Highest-signal resume keywords

Supervisory ExperiencePerformance EvaluationTeam DevelopmentRegulatory ComplianceProcess Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data Quality MetricsPerformance MetricsGeneral Computer SkillsWord Processing SkillsSpreadsheet Skills

Soft Skills

Effective CommunicationProblem-Solving SkillsAccountable LeadershipCollaboration SkillsOrganizational Skills

Industry Keywords

Provider DataNCQAOHACMSWAOICHIPAA

About the role

Key responsibilities & impact

Supervise and guide assigned team members regarding company policies, procedures, and workflow
Set goals and implement strategies to ensure team members effectively assist providers with internal processes
Manage hiring processes for Operations staff
Coach employees to improve individual performance and develop teamwork
Evaluate team member performance and conduct timely performance evaluations
Maintain knowledge of assigned positions and develop ongoing training and coaching programs
Supervise and evaluate data production and quality performance
Conduct regular one-on-one meetings with assigned staff
Assist the Manager with staffing, training, process improvement, and department budget needs
Create and evaluate Operations production and data quality metrics
Supervise development and maintenance of Provider Network job aids, policies, and procedures
Liaise with PacificSource departments to coordinate service and information
Attend and lead enterprise workgroups related to provider data scalability and quality outcomes
Document and report pertinent communications to the manager, team, or department
Lead continuous improvement efforts for enterprise and team processes
Foster a positive virtual and in-person work environment, provide constructive feedback, and promote continuous learning
Collaborate with leadership teams to develop best practices and address enterprise-wide process issues
Handle hiring, staff development, coaching, performance reviews, corrective actions, and employee terminations
Investigate and resolve provider data issues, escalating information as needed
Oversee compliance of provider data quality with regulatory and marketability standards, including NCQA, OHA, CMS, and WAOIC
Perform other duties as assigned

Requirements

What you’ll need

Minimum of three years of experience in a closely related insurance field or three years of supervisory experience
High school diploma or equivalent
Effective written and oral communication
Ability to read, understand, and communicate policies
Effective problem-solving skills
Ability to define and prioritize problems and manage workload without direct supervision
Ability to work under time pressures and heavy workloads
Ability to use judgment to make logical decisions consistent with company culture and philosophy
General computer, word processing, and spreadsheet skills
Accountable leadership, collaboration, communication, critical thinking, decision making, influencing, active listening, and organizational/planning skills
Meet department and company performance and attendance expectations
Follow PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information
Ability to read and comprehend both written and spoken English
Ability to communicate clearly and effectively
Ability to stoop and bend, sit and/or stand for extended periods, perform repetitive typing/sorting/filing motions, and lift and carry files and business materials

Benefits

Comp & perks

Work-from-home arrangement indicated by the location field (WFH: NC)
Equal opportunity employment
Ergonomically configured equipment
Approximately 5% travel