Lead Data Management Specialist

3 weeks ago

Springfield, Illinois, United States Prime Therapeutics Full time

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Lead Data Management Specialist

Summary

Responsible for timely and accurate data entry and maintenance of provider records or credentialing and contract information in multiple databases. Maintains highly confidential information. Researches and resolves questions and complaints, and ensures that information in all databases is accurate and properly configured to support operations. Responsible for analyzing system impact, process analysis and testing automated solutions when business problems require automated information systems solutions. Responsible for monitoring special projects, reporting progress, and coordinating efforts across teams. May help train lower level peers.

Performs review, correspondence and timely, accurate record set-up and data entry. Supports internal auditing process to ensure data accuracy and integrity. Researches and resolves issues and ensures systems are updated, timely, appropriately and accurately. Responds to requests to update or change information and ensures that all changes are made within operational guidelines and accurately support all other systems related functions. Configures systems, as necessary, to support department needs. Runs standardized reports. Develops and documents complex workflows and process analysis. Researches and responds to providers and other internal staff regarding complex inquiries. Develops solutions and communicates outcomes by telephone and in writing. Supports the implementation of new business by ensuring providers are appropriately and accurately loaded in all applicable systems. Records daily activities using electronic and manual systems as directed. Provides consultation and information to area offices regarding the composition of the provider network or specific provider statuses. Forwards provider requests for network inclusion to the area offices for review and approval. Assists representatives with detailed information in order to answer provider questions and returns provider calls, as requested, to communicate resolution and/or appropriate course of action. Performs other duties and special projects as assigned Responsibilities Experience in standard office equipment including telephone, copy machines, personal computer software and mainframe/LAN data systems. Must possess a high level of technical aptitude and be able to organize and manage information in multiple system environments. Manage multiple priorities, pay close attention to detail as well as be proficient in word processing and spreadsheet applications. Proven customer service skills and the ability to successfully analyze and procure solutions to problems in a fast paced production based environment. 5 or more years experience in customer service, data management, communications, or credentialing verifications required. 3-5 years experience in a behavioral health or related industry. Bachelors degree preferred in an analytical or logical thinking field or compatible work experience. Work Experience

Work Experience - Required:

Behavioral Health, Customer Service, Healthcare

Work Experience - Preferred:

Education

Education - Required:

Education - Preferred:

Bachelors

Certifications

Certifications - Required:

Certifications - Preferred:

Potential pay for this position ranges from $ $28.30 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (***/careers/benefits/) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is an Equal Opportunity Employerand a Tobacco-free workplace. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and 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. ​ If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.*** or email ***.

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