Top 36 Data steward Jobs in North Miami, 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
13d
Data Specialist
Contact Government Services, LLC —Miami, FL
- $61,152 - $82,992 a year
- Full-time
- Mid-level
- Training & development
- Health insurance
- Dental insurance
Quick Apply
Data Collection Operations Lead, Optimus
Tesla —Doral, FL
- Weekends as needed
- Mid-level
- Leadership
- Communication skills
- Commuter assistance
- Health savings account
11d
Data Management I
Florida International University —Miami, FL
- $42,000 - $50,000 a year
- Online Application
- Background check
- Research
- Bachelor's degree
- Flexible schedule
Data Governance and Metadata Scientist
Booz Allen Hamilton —Doral, FL
- $99,000 - $225,000 a year
- Full-time
- 5 years
- Mid-level
- Office
- Health insurance
- Flexible spending account
12d
Data Governance Specialist
Prescient Edge Federal —Doral, FL
- Full-time
- Azure
- Computer Science
- 5 years
- Health insurance
- Dental insurance
Data Collection Supervisor, Optimus
Tesla —Miami, FL
- Full-time
- Mid-level
- Continuous improvement
- Communication skills
- Commuter assistance
- Health savings account
2d
Director, Customer Data & Asset Strategy
Mastercard —Miami, FL
- $131,000 - $250,000 a year
- Online Application
- Quality control
- APIs
- Financial services
- Paid jury duty
- Health savings account
6d
Junior Geospatial Research Analyst
Prescient Edge Federal —Doral, FL
- Full-time
- Computer Science
- Office
- SQL
- Health insurance
- Dental insurance
Geospatial Research and Production Manager
Booz Allen Hamilton —Doral, FL
- $86,800 - $198,000 a year
- Full-time
- Management
- Research
- Mid-level
- Health insurance
- Flexible spending account
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 Governance & Metadata Scientists
Prescient Edge Federal —Doral, FL
- Full-time
- Azure
- 5 years
- Office
- Health insurance
- Dental insurance
Lead, Corporate Responsibility Data & Transformation
Royal Caribbean Group —Miami, FL
- Full-time
- 6 years
- Computer Science
- Office
Data Governance Specialist-WO-004
SOSi —Doral, FL
- Full-time
- Azure
- Computer Science
- 5 years
Quick Apply
Mid-Level Geospatial Research Analyst
SOSi —Doral, FL
- $62,772 - $130,374 a year
- Full-time
- Computer Science
- 5 years
- Mid-level
Quick Apply
Mid Geospatial Research Analyst
Prescient Edge Federal —Doral, FL
- Full-time
- Computer Science
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Data Strategy & Governance Consultant - Utilities
Accenture —Miami, FL
- Full-time
- Hybrid work
- Master's degree
- US work authorization
- Military encouraged
- Paid holidays
- Disability insurance
Data Governance & Enablement Manager
BankUnited, N. A. —Miami Lakes, FL
- 7 years
- Azure
- Computer Science
Provider Network Configuration Specialist
Solis Health Plans —Doral, FL
- $25 - $27 an hour
- Full-time
- Mid-level
- 3 years
- Databases
Quick Apply
Knowledge Manager
Prescient Edge Federal —Doral, FL
- Full-time
- Mid-level
- Office
- Analysis skills
- Health insurance
- Dental insurance

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Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC -
Miami, FL

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year
13 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 steward jobs in north miami, fl

Healthcare Configuration and Data Integrity Manager

Data Specialist

Data Collection Operations Lead, Optimus

Data Management I

Data Governance and Metadata Scientist

Data Governance Specialist

Data Collection Supervisor, Optimus

Director, Customer Data & Asset Strategy

Junior Geospatial Research Analyst

Geospatial Research and Production Manager

Scientific Data Manager

Data Governance & Metadata Scientists

Lead, Corporate Responsibility Data & Transformation

Data Governance Specialist-WO-004

Mid-Level Geospatial Research Analyst

Mid Geospatial Research Analyst

Data Strategy & Governance Consultant - Utilities

Data Governance & Enablement Manager

Provider Network Configuration Specialist

Knowledge Manager

I want to receive the latest job alert for data steward in north miami, fl

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