Data Management Coordinator for Sunflower Health Plan

2 weeks ago


Lenexa, Kansas, United States Sunflower Health Plan Full time

We are seeking a skilled Data Management Coordinator to join our team at Sunflower Health Plan.

About the Role

As a Data Management Coordinator, you will play a crucial role in maintaining accurate databases and reports to monitor network compliance with State requirements. Your responsibilities will include creating and maintaining multiple databases, overseeing provider termination processes, scheduling monthly provider verifications, and providing timely reports and statistical data to other department designees.

Key Responsibilities
  • Manage and maintain databases related to contract providers, prior authorization, third-party liability, and provider set-ups.
  • Oversee the provider termination process, ensuring seamless transitions and minimal disruptions.
  • Schedule and conduct regular provider verifications to ensure accuracy and adherence to enrollment specifications.
  • Update delegated provider Medicare and Medicaid documents on a monthly basis and as needed, ensuring state compliance.
  • Develop and provide comprehensive reports and statistical data to support business decisions.
Requirements

To succeed in this role, you will need:

  • A minimum of 2+ years of experience in provider data or network administration, preferably in a managed care setting.
  • Proficiency in Microsoft Office applications, particularly Access and Excel.
  • Prior experience with database management, reporting, and analysis is highly desirable.
  • An Associate's degree in healthcare or a related field is preferred.
Preferred Qualifications

In addition to the above requirements, we prefer candidates with:

  • Claims experience.
  • Credentialing experience.
  • Provider Data Management experience.
  • Provider Network Operations experience.
  • Residence in Kansas or the Kansas City, Missouri Metropolitan area.
Compensation and Benefits

We offer a competitive salary range of $18.66 - $31.73 per hour, depending on your skills, experience, education, and other job-related factors permitted by law. Additionally, you will receive a comprehensive benefits package, including health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work arrangements.

Why Join Us?

Sunflower Health Plan is an equal opportunity employer committed to diversity and inclusion. We value the unique perspectives and experiences that each individual brings to our organization. If you are passionate about working in a dynamic and fast-paced environment, we encourage you to apply for this exciting opportunity.



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