Provider Coordinator, Team Lead
Blank StreetSalary not specified
- Full Time
- Junior (1 to 2 years)
$75,000 – $85,000Compensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should possess a Bachelor’s degree in Healthcare Administration, Business Administration, Information Management, or a related field, or equivalent experience. They must have a minimum of 5 years of experience in provider data management, healthcare operations, or related roles, and demonstrate strong knowledge of healthcare provider data, including provider demographics, contract details, credentialing processes, and network participation. Candidates should also have proficiency in using provider data management systems and software, exceptional attention to detail and accuracy, and excellent interpersonal and communication skills. Knowledge of healthcare regulations and compliance related to provider data management (HIPAA, NCQA, etc.) is required, along with a proven track record of process improvement and optimizing operational efficiency, and the ability to adapt to a fast-paced environment.
Responsibilities
The Provider Data Manager will oversee the day-to-day activities of the provider data team, ensuring accuracy, efficiency, and adherence to quality standards, and will report directly to the Director of Provider Data Management. They will collaborate with cross-functional teams to enhance provider data processes, monitor and manage daily provider data operational activities, resolve escalated issues from team members and stakeholders, analyze and report on key performance indicators, and identify opportunities for process improvement. The role involves developing and maintaining strong working relationships with provider network teams, credentialing teams, and other business units to drive efficient data management processes, participating in the development and implementation of training programs, contributing to the development and optimization of provider data management workflows and technologies, and staying informed about industry trends and regulatory changes.
Skills
Healthcare provider data
Provider demographics
Contract details
Credentialing processes
Network participation
Provider data management systems
Analytical skills
Problem-solving
Decision-making
Attention to detail
Communication skills
Healthcare regulations
HIPAA
NCQA
Process improvement
Operational efficiency
Centivo
Affordable health insurance with primary care focus
About Centivo
Centivo provides health insurance focused on making healthcare affordable and accessible. The company emphasizes primary care, offering free primary care services, no deductibles, and low, predictable copays to help keep its members healthier and reduce the need for hospital visits. Centivo generates revenue by charging employers for health plans provided to their employees, which leads to lower medical costs and increased usage of the plans. A key feature of Centivo's offering is its integrated virtual care service, allowing members to access care conveniently. The company is distinguished by its commitment to quality, curating providers based on strict price and quality standards, particularly in primary care. Centivo's goal is to enhance the member experience while lowering overall healthcare costs.
Key Metrics
Buffalo, New YorkHeadquarters
2017Year Founded
$183.7MTotal Funding
DEBTCompany Stage
Financial Services, HealthcareIndustries
201-500Employees