PDM Administrator

  • by
  • Full Time
  • Arkansas
Job Details
Full-time1 hour ago
Benefits
  • Paid time off
  • 401(k)
  • Health insurance
  • Tuition reimbursement
Qualifications
  • Database management
  • Network administration
  • Databases
  • Managed care
  • High school diploma or GED
Full Job Description
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Update and maintain provider computer records for assigned sites

  • Applicants for this job have the flexibility to work remote from home anywhere in the United States*

Add, change and terminate new or existing provider records in the medical information system

Schedule monthly provider verifications regarding provider enrollment specifications and demographics

Oversee Medicare and Medicaid provider directory process including achieving and maintaining compliance with the State and CMS with regards to the Medicare and Medicaid directory

Maintain internal demographics database utilizing information from provider’s offices and monthly reports

Gather data from the assigned State to monitor current panel of providers and any possible sanctions

Assist various cross-functional departments in monitoring and auditing files, systems, and databases for accuracy

Education/Experience: High school diploma or equivalent. 1+ years of provider data or network administration experience, preferably in managed care. Knowledge of the provider subsystems and claims processing. Previous database management experience preferred.

Centene is proud to offer competitive benefits for this position. They are available for review at: https://jobs.centene.com/us/en/benefits. The salary range in CO is: $38k-52k; The salary range in CT is: $41k-55k.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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