What are the responsibilities and job description for the Provder Demographic Management Coordinator 25-00125 position at Alura Workforce Solutions?
Position
Provider Demorgraphic Management Coordinator
Provider Demorgraphic Management Coordinator
Position Summary
The Provider Demographic Management (PDM ) Coordinator is responsible for generating Health Plan notifications including adds, changes and terms. PDM Coordinator catalogs and tracks all changes and ensures key updates are completed accordingly.
Essential Functions and Responsibilities of the Job
- Complete assigned tasks in a timely and efficient manner.
- Performs data mining and data autditing functions.
- Familiar with regulatory standards including but not limited to: NCQA, ICE, DMHC, DHCS, CMS, and contracted health plans.
- Track, update, and audit provider information in database
QualificationsMinimum Requirements
Qualifications/Work Experience:
Full-Time, Contract Position
INDH
Qualifications/Work Experience:
- A minimum of two (2) years of relevant healthcare experience working in a managed care or information systems setting is required.
- Working knowledge of data analysis, data presentation, and preparation of professional documents required
- Exprience with Provider ECHO payments is highly preferred.
- Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is required, experience with Microsoft Access is also preferred.
- Experience with various healthcare industry regulatory agencies and requirements including but not limited to CMS, NCQA, DMHC, ICE, DHCS, preferred.
- Must have a high school diploma
- Bachelor's degree in Healthcare Analytics, Health Administration or related major, Preferred
- Comparable work experience in areas of Provider Data Management or Provider Network Management, Considered
Full-Time, Contract Position
INDH
Salary : $24 - $29
