Provider Data Management Specialist

Responsibilities

• Manage a queue of inbound requests from contracted providers using email and Salesforce.
• Submit requests to update provider data system with new demographic information (e.g., new TINs, location changes, provider adds/terms).
• Respond in a timely manner to physician inquiries regarding the status of their request, updates, or initial contracting requests for effective dates or other contract/provider-related information.
• Ensure all provider data/contracts are researched, located, and assigned quickly and appropriately to our team so they can be updated in relevant systems.
• Ensure organized storage of all relevant provider documents.
• Use effective verbal and written communication skills with teammates internally and doctors externally.
• Foster a service-oriented working environment by having a positive attitude and treating others in a kind and professional manner.
• Other duties as assigned by Director.

Requirements

• Bachelor’s degree preferred
• Previous health insurance/network experience preferred
• Previous provider relations/customer service experience preferred

Skills and Abilities

• Strong, effective communicator capable of navigating challenging conversations
• Excellent organizational, interpersonal, presentation, facilitation, and communication skills
• Demonstrated commitment to high professional ethical standards
• Ability to adapt to a fast-paced, continually changing business and work environment while managing multiple priorities
• Strong technical, analytical, and trouble-shooting skills
• Excellent follow-through skills, self-motivated, and detail-oriented
• Strong organizational skills to manage multiple projects, issues, and priorities effectively and simultaneously, with high level of attention to detail
• Proficient in the MS Office Suite to include MS Word, Excel, and Outlook
• Proficient in using Salesforce

What Can Imagine360 Offer You?

• Multiple Health plan options
• Company-paid employee premiums for disability and life insurance
• Parental leave policy
• 20 days of PTO to start / 10 paid holidays
• Tuition reimbursement
• 401(k) company contribution
• Company-paid short and long-term disability plus life insurance
• Professional development initiatives/continuous learning opportunities
• Opportunities to participate and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.