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Provider Relations-Networking-Contracting WellCare - Provider Administration & Support Careers

Provider Data Specialist Job

Full Job Title: Provider Data Specialist

Job Number: 1803409

Location: Tampa, FL

Date Posted: 2018-07-27

Supports the process to maintain the integrity of the provider network data by preforming online research and/or conducting phone validations and updating source systems with accurate information.

Essential Functions:
  • Supports requests for assistance and researches issues using various resources
  • Communicates clearly, written and verbal, and follows up with various areas to ensure tasks are completed or issues are escalated appropriately
  • Analyzes trends to recommend process and/or operational improvements
  • Performs quality checks throughout the directory process and third party vendor process to ensure accuracy in the data
  • Assists with audit reviews for accuracy and provide timely feedback on findings
  • Participate in cross-functional departmental planning sessions
  • Perform all other related duties as assigned by manager
Additional Responsibilities:
    Candidate Education:
    • Required A High School or GED
    Candidate Experience:
    • Required 1 year of experience in research analysis
    Candidate Skills:
    • Advanced Ability to multi-task
    • Advanced Demonstrated organizational skills
    • Advanced Demonstrated written communication skills
    • Advanced Demonstrated interpersonal/verbal communication skills
    • Advanced Other Requires strong project tracking
    • Intermediate Other Requires solid analysis and research skills to resolve various provider related issues
    Licenses and Certifications:
    A license in one of the following is required:
      Technical Skills:
      • Required Advanced Microsoft Excel
      • Required Advanced Microsoft Word
      • Required Advanced Microsoft Outlook
      • Required Intermediate Microsoft Access
      • Required Intermediate Microsoft PowerPoint

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        Last Updated On: 12/9/2015