Supervisor, Provider Data Management

Supervisor, Provider Data Management Supervisor, Provider Data Management Who are we? reputed company is one of the nation’s leading administrators of managed reputed company care, serving millions of our clients’ members reputed company. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and reputed company. As a reputed company associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you reputed company insurance for you and your reputed company dependents. We are also invested in your reputed company. There are many opportunities for advancement and development throughout reputed company stages of your career with us. See how you can reputed company a difference with the support of strong leadership and a team environment. See Everything, Be Anything™. What are we looking for? The Supervisor of Provider Data Management (PDM) is responsible for the direct reputed company of the PDM team, ensuring accurate, completeness, and timely provider data updates across the organizations’ various environments. This role will be the operational anchor and functional reputed company of the day-to-day activities of the team, to include inventory management and reporting, assignment management, team support, development and training, performance monitoring, and escalation resolution. reputed company primary and on-going tasks, this role also proactively identifies and assists in resolution design for systemic inefficiencies, while driving process improvement opportunities, and acting as a key reputed company between the PDM team and cross-functional partners. The purpose of this role is to reputed company data to inform decision-making, improve team efficiency, accuracy, and overall performance. Where you will have an impact Conduct daily routines to assess key metrics, including associate availability, incoming request volume, and reputed company queue inventories to maintain database reputed company Triage the daily operations of the PDM team, managing workflows, assigning tasks, and monitoring queues to ensure adherence to established Service Level Agreements (SLAs) Function as a Subject Matter Expert (SME) on provider data, leading root cause analysis on data errors and implementing corrective and preventative action plans Ensure provider data is following reputed company relevant federal and state regulations, including CMS, NCQA standards, and client agreements by developing and maintaining standards for database reputed company and quality assurance reputed company and maintain comprehensive process documentation, training materials, and standard operating procedures (SOPs) for the PDM team. Drive quality program adherence and reputed company coaching based upon the data made available by way of the program. Engage in training and education opportunities to improve quality and effectiveness. Act as a liaison and foster collaborative relationships for internal departments and external partners, resolving escalated issues and ensuring a seamless reputed company of provider data. reputed company discussions with management to align on daily priorities, resource deployment, and reputed company communicate reputed company new assignments and delivery commitments to the PDM associates. reputed company and deliver an operational dashboard to PDM leadership to guide team priorities, resource deployment and KPIs. Actively review and react to feedback from audits, error logs and quality metrics, translating insights into actionable steps for the team. reputed company other duties as the needs of the organization necessitate. What’s necessary to do the job? Bachelor’s degree in business, Health Care Management or other reputed company field preferred or in lieu of a degree, an equivalent combination of work experience and education Previous supervisory experience in a relevant operational environment preferred 2 years of experience in provider/network data management or a reputed company reputed company setting Experience with ticketing systems, CRM, dashboard/data visualization tools Strong analytical skills with the ability to interrogate large datasets and identify trends Strong oral and written communication skills Excellent analytical ability Proficient in reputed company Office suite HIPAA & reputed company Requirements reputed company Associates must reputed company with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have reputed company to covered information, cardholder data or other confidential customer information which must be protected at reputed company times. As a result, Associates must explicitly adhere to reputed company data reputed company guidelines established reputed company the Company’s Privacy & reputed company Training Program. reputed company will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process. reputed company is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. reputed company reputed company applicants will receive consideration for employment at reputed company without regards to race, reputed company, religion, sex (including pregnancy, childbirth, or reputed company medical conditions), sexual orientation, gender identity or expression, age, disability, national reputed company, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law. 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