Primary Responsibilities:
- The Sr. Manager of Provider Data Management oversees daily operations for provider data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT
- Responsibilities include maintaining a unified SQL-based provider data source supporting downstream systems such as claims, UM systems, and provider directories
Required Qualifications:
- 10+ years of health care or health plan experience
- Extensive experience with SQL servers, Excel, Access, Microsoft Data Services
- Knowledge of CMS regulations and managed care payment methodologies
- Proficiency in Microsoft Office
- Excellent written and verbal communication skills
Preferred Qualifications:
- Supervisory or management experience in a managed care environment
- Experience with MD Staff, EPIC, provider data management software, SQL server
- Working Environment & Physical Demands
- Office-based environment, minimal noise
- Regular computer use and extended sitting
- Occasional walking or bending; ability to lift up to 25 lbs.
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