Data Management

• Manage the daily operations of provider data management functions
• Direct provider data management activities based on plan and contract specifications and standard business rules
• Manage end-to-end provider data entry and maintenance for claims payment, member assignment and directory display
• Investigate and resolve complex provider data management issues
• Identify trends and recommend improvements to mitigate potential issues
• Lead task assignment for team workflow and distribution
• Monitor team performance against provider data quality benchmarks
• Facilitate meetings with Health Plan representatives
• Train and mentor Provider Data Management Analysts I and II and Team Leads
• Perform other duties as assigned
• Comply with all policies and standards

Data Management jobs in Florida

Supervisor, Provider Data Management