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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: 1706083

Location: Tampa, FL

Date Posted: 1-11-2018

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

DEPARTMENT: FL state Operations

REPORTS TO: Sr. Manager, Provider Relations

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.

*LI-SM1

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 requires strong project tracking
  • Intermediate requires solid analysis and research skills to resolve various provider related issues

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