供应商数据管理专员 - 注册
Provider Data Management Specialist- Enrollment
我们正在寻找一名提供者数据管理（PDM）专家，负责监督和维护我们在健康计划系统中的准确提供者记录。该职位涉及在内部系统中输入和更新提供者数据和人口统计信息，同时确保准确性和符合政策及法规。理想的候选人应具备良好的细节关注能力、分析技能，并有与提供者网络和医疗数据库合作的经验。
- 准确地在内部系统中输入、更新和维护提供者信息
- 验证提供者的资质数据、合同和人口统计数据以确保准确性
- 确保提供者记录符合CMS、HIPAA以及州/联邦法规
- 进行常规审计和对账以保持数据完整性
- 根据流程指南将所需数据审查并加载到健康计划系统中
- 管理和监控日常活动并达成设定的目标
- 能够独立工作，在最少监督下按时完成任务
- 必须能够优先处理并完成所有工作职责
- 必须能够根据部门和/或业务需求适应变化
- 英语书面沟通能力强，表达清晰准确
- 具备良好的英语阅读和听力理解能力，以有效处理请求
- 具备良好的分析、逻辑和组织能力，用于解决问题
- 能够有效优先处理任务，确保及时准确地处理录入
- 对细节高度关注，能够在快节奏环境中多任务处理
- 强烈的客户服务意识，热衷于提供卓越的服务和支持
- 熟练使用Microsoft Office套件，有操作基于网络的应用程序的经验
- 打字速度至少40字/分钟，准确且高效
- 优秀的网络连接，有线连接
- 生产力高且安全的工作环境，无干扰
所有您的信息将根据EEO指导原则保密。
EEOC和退伍军人文件
在雇佣期间，员工不会因种族、肤色、宗教、性别、国籍、年龄、婚姻状况或退伍军人身份、健康状况或残疾等任何受法律保护的状态而受到歧视。
有时，政府机构会要求雇主定期报告员工的性别、族裔、残疾、退伍军人和其他受保护状态的信息。目的是
查看英文原文
We are seeking a Provider Data Management (PDM) Specialist to oversee and maintain accurate provider records within our health plan systems. This role involves entering and updating provider data and demographic information in internal systems, while ensuring accuracy and compliance with policies and regulations. The ideal candidate should possess strong attention to detail, analytical skills, and experience working with provider networks and healthcare databases.
- Accurately enter, update, and maintain provider information in internal systems
- Validate provider credentialing data, contracts, and demographic data to ensure accuracy
- Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations
- Conduct routine audits and reconciliations to maintain data integrity.
- Review and load the required data into the health plan system as the process guidelines require
- Manage and monitor daily activities and meet the set targets
- Work independently and complete the tasks in established timeframe with minimal supervision
- Must be able to prioritize and complete all job duty requirements
- Must be able to adhere to changes based on department and/or business
- Excellent written communication skills in English with strong clarity and accuracy
- Strong reading and listening comprehension skills in English to effectively process the requests
- Well-developed analytical, logical, and organizational abilities for problem-solving
- Ability to prioritize tasks effectively, ensuring timely and accurate processing of intakes
- Keen attention to detail with the capability to multitask in a fast-paced environment
- Strong customer focus, with a passion for delivering exceptional service and support
- Proficiency in Microsoft Office Suite and experience navigating web-based applications
- Typing speed of at least 40 words per minute, with accuracy and efficiency
- Excellent internet connectivity, Hard-Wired
- Productive and secure work environment, distraction-free.
All your information will be kept confidential according to EEO guidelines.
EEOC and Veteran Documentation
During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.