Medicaid Provider Operations Support – Provider Data Services
Job Description:
• Serve as the primary Point of Contact (POC) for the Provider Data Services (PDS) team
• Provide guidance to all analysts on issue resolution and accurate provider data setup
• Collaborate with team members to identify, review, and research issues in support of effective solutions
• Support the review and potential revision of documentation based on new guidance provided by the Liaison
• Manage team production workflows to ensure timely and accurate case completion
• Attend all regularly scheduled meetings as assigned
• Review escalated requests, ensuring timely issue resolution
• Serve as the Subject Matter Expert (SME) and Point of Contact (POC) for provider data clean-up across all Medicaid states
• Identify and escalate significant trends or concerns within designated areas to MPOS leadership
• Respond daily to inquiries and emails related to provider data
Requirements:
• Minimum of 1 year of experience in provider data management
• Minimum of 1 year of direct communication experience with internal teams and external partners
• Proficiency in managing provider data, supporting operations, and navigating network structures
• Proficient in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook
• Extensive knowledge of problem-solving methodologies and effective troubleshooting strategies
• SQL experience (Preferred)
• QuickBase experience (Preferred)
• QNXT system knowledge (Preferred)
• Excel Skills: (VLOOKUPS and Pivot Tables)
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings
• Tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access and many other benefits depending on eligibility
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