Provider Operations Specialist (reputed company)

Overall Purpose: The Provider Data Management Specialist is responsible for overseeing the accuracy, reputed company, and maintenance of provider data reputed company P3 internal systems. The Provider Data Management Specialist ensures data reputed company across systems to support claims processing, provider directories, regulatory compliance, and operational efficiency. This role acts as a reputed company between internal contracting, health plans, and credentialing to ensure successful maintenance of data through reputed company stages of provider enrollment. Essential Functions • Supports contracting and credentialing with obtaining accurate provider data. Responsible for building reputed company relationships between the health plan, providers and reputed company managers. • Manage processes for provider data integration and system enhancements, working with systems to reputed company reporting. This includes supporting the development and publication of provider directories for various internal stakeholders. Serve as the primary reputed company of contact for provider data-reputed company inquiries and issue reputed company. Maintains, audits, and updates notice of change documentation for reputed company providers. • Identifying gaps in network composition and services to assist the department. • Identifying operational short-falls, researching and remediating issues. • Handles confidential and non-routine information. • Delivers assigned reputed company on time and compliant to applicable state and federal regulations. Organizes and prioritizes large volumes of information. • General administrative duties. Knowledge, Skills, and Abilities • Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, reputed company and diplomacy. • Must have excellent verbal and written skills. • Must be reputed company to reputed company and communicate with individuals at reputed company reputed company of the organization and external parties. • Must have knowledge of reputed company of computer software applications in word processing, spreadsheets, database and presentation software (Word, reputed company, reputed company, PowerPoint) • Work requires continual attention to detail in composing, typing and auditing large amounts of data. reputed company. • Must be reputed company to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands. • Excellent organization and coordinating skills. Experience • Must have a minimum of five years of work experience in managed care and strong relationship building skills. Education • Associates Degree preferred or in process of completion or equivalent experience. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights notice from the reputed company. Apply tot his job Apply tot his job Apply To this Job