Top 73 Data manager Jobs in Hollywood, Fl

Healthcare Configuration and Data Integrity Manager
Provider Network Solutions LLC —Miami, FL
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
Quick Apply
8d
Retail Banking Product Manager - AI Trainer
DataAnnotation —Fort Lauderdale, FL
- $50 - $100 an hour
- Part-time
- Remote
- English
- Mid-level
- Master's degree
Quick Apply
Manager Research Analyst - AI Trainer
DataAnnotation —Pembroke Pines, FL
- $50 - $100 an hour
- Part-time
- Remote
- English
- Master's degree
- Analysis skills
Quick Apply
Portfolio Manager - AI Trainer
DataAnnotation —Miami, FL
- $50 - $100 an hour
- Part-time
- Remote
- English
- Master's degree
- Doctor of Philosophy
Quick Apply
Data Center Manager - Fort Lauderdale
Flexential Corp. —Fort Lauderdale, FL
- $119,000 - $125,000 a year
- Weekends as needed
- Up to 50% travel
- Ability to walk for extended periods
- Military
- Wellness program
- Health savings account
Quick Apply
Senior Manager, Data Engineering
Scribd, Inc. —Miami, FL
- $154,500 - $265,000 a year
- Full-time
- Residential
- Continuous improvement
- Mentoring
- Paid parental leave
- Disability insurance
Data Intelligence Product Manager (US)
Sumsub —Miami, FL
- Full-time
- Remote
- Spanish
- English
- Product management
- 401(k)
Quick Apply
Manager, Data Science
University of Miami —Miami, FL
- Full-time
- System design
- Mid-level
- 3 years
- Health insurance
- Dental insurance
12d
Manager, Enterprise Analytics
Pediatric Associates —Plantation, FL
- Full-time
- Mid-level
- SQL
- Bachelor's degree
Analytics Manager
Subway —Miami, FL
- $105,000 - $131,350 a year
- Mid-level
- SQL
- Bachelor's degree
- 401(k)
- Tuition reimbursement
Quick Apply
Clinical Data and Project Manager
Galatea Bio, Inc. —Miami, FL
- Hybrid work
- Spanish
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Data Strategy & Governance Manager - Utilities
Accenture —Miami, FL
- Full-time
- Hybrid work
- Management
- Master's degree
- Travel
- Paid holidays
- Disability insurance
Data Science and Analytics Manager (Job ID 3021410)
ADT —Boca Raton, FL
- Writing skills
- Office
- Microsoft Office
Lead Cyber Threat Intelligence Data Architect
Humana —Miami, FL
- $129,300 - $177,800 a year
- Full-time
- Remote
- 7 years
- System design
- Bachelor's degree
- Paid parental leave
- Paid holidays
4d
Healthcare Analytics Supervisor
Pediatric Associates —Plantation, FL
- Full-time
- Mid-level
- 3 years
- SQL
Customer Engineering Manager, Data Analytics, Google Cloud
Google —Miami, FL
- $192,000 - $267,000 a year
- Full-time
- Bachelor's degree
- Product management
- Travel
Knowledge Manager
Booz Allen Hamilton —Doral, FL
- $99,000 - $225,000 a year
- Full-time
- Management
- Research
- Mid-level
- Disability insurance
- Health insurance
7d
Data Integration and Fusion Lead
CACI —Doral, FL
- $82,100 - $172,400 a year
- Full-time
- 8 years
- Travel
- Senior level
- Health insurance
Scientific Data Manager
Lynker Corporation —Miami, FL
- $60,000 - $85,000 a year
- Overtime
- Forklift
- Master's degree
- 1 year
- Paid holidays
- Disability insurance
Data Science Lead
SOSi —Doral, FL
- $86,568 - $179,795 a year
- Full-time
- Azure
- Management
- Computer Science
Quick Apply

I want to receive the latest job alert for data manager in hollywood, fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC -
Miami, FL

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year
8 days ago

Qualifications

Computer operation
Microsoft Excel
Microsoft Access
Microsoft Outlook
Medical claims processing
Customer service
Desktop applications
Medical terminology
Master data management

Full Job Description

Description:

Position Summary

The Configuration and Data Integrity Manager is responsible for implementing and interpreting the organization's overall claims, provider configuration, eligibility and provider database management, security, and operations. The Configuration Manager will work with internal departments and external organizations to assure secure data exchanges, integrity, reliability, and availability; plans, organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data.

Duties and Responsibilities

Responsible for benefit configuration covered services, copay, deductibles, coinsurance and max out of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of Benefit Packages

Responsible for provider records configuration and contract rate load create vendors, practice locations, medical group, networks, reimbursement rate. Collaborate with Provider Relations Department and Credentialing to ensure Responsible for work distribution and resource management of configuration specialist and data integrity specialist.

Configuration support to provider contracts-question if specific agreement received can be entered as noted.
Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases.
Responsible for accurately interpreting specific contracts as well as additional business requirements and converting these terms to configuration parameters.
Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules, network assignment, team member’s responsibilities.
Collaborate with provider call center, clinical and claims department when asked to verify specific provider configuration or benefit configuration information.
Provide system configuration support to organization based on changing business needs.
Review and recommend changes to existing configuration processes.
Analyze and resolve Claims Workflow regarding Benefit & Contract configuration issues in a in with 3 business days.
Provide technical guidance to Data Integrity Specialist in their assigned job duties.
Oversee Configure Medicare/Medicaid/Commercial interest rates in TPA system.
Resolve Eligibility Issues with Health Plans.
Validate reports ran by Data Integrity Specialist on a weekly, monthly, and quarterly basis.
Load and Maintain Fee Schedule in TPA System
Act as liaison between Corporate and the health plan regarding programming development needs related to reporting.

Requirements:

Knowledge

3-5 years of Claims Processing experience required.
1-2 years’ experience in healthcare data management.
Broad knowledge of medical terminology, customer service, claims processing and/or customary and reasonable cost containment, and coordination of benefits and diagnosis coding.

Skills

Advanced knowledge of Microsoft applications: Outlook, access database, excel, word and basic computer navigation.

Quick Apply

Refine Your Search

data manager jobs in hollywood, fl

Healthcare Configuration and Data Integrity Manager

Retail Banking Product Manager - AI Trainer

Manager Research Analyst - AI Trainer

Portfolio Manager - AI Trainer

Data Center Manager - Fort Lauderdale

Senior Manager, Data Engineering

Data Intelligence Product Manager (US)

Manager, Data Science

Manager, Enterprise Analytics

Analytics Manager

Clinical Data and Project Manager

Data Strategy & Governance Manager - Utilities

Data Science and Analytics Manager (Job ID 3021410)

Lead Cyber Threat Intelligence Data Architect

Healthcare Analytics Supervisor

Customer Engineering Manager, Data Analytics, Google Cloud

Knowledge Manager

Data Integration and Fusion Lead

Scientific Data Manager

Data Science Lead

I want to receive the latest job alert for data manager in hollywood, fl

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected