Provider Data Manager

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.

The Provider Data Manager, will play a crucial role in overseeing the day-to-day activities of our provider data team, ensuring accuracy, efficiency, and adherence to quality standards. You will report directly to the Director of Provider Data Management and collaborate closely with cross-functional teams to enhance our provider data processes. 

Responsibilities Include: 

• Ensure the accuracy, completeness, and integrity of provider data within our systems, making certain that all provider information is up-to-date and compliant with industry regulations. 

• Collaborate with the Director of Provider Data Management to establish team goals, strategies, and performance metrics. 

• Monitor and manage daily provider data operational activities. 

• Resolve escalated issues from team members and internal/external stakeholders related to provider data discrepancies, ensuring timely resolution. 

• Analyze and report on key performance indicators, identifying trends and opportunities for process improvement. 

• Develop and maintain strong working relationships with provider network teams, credentialing teams, and other business units to drive efficient data management processes. 

• Participate in the development and implementation of training programs for team members to enhance their skills and knowledge. 

• Contribute to the development and optimization of provider data management workflows and technologies. 

• Stay informed about industry trends, regulatory changes, and best practices in provider data management to ensure compliance and competitiveness. 

Qualifications: 

Required Skills and Abilities:    

• Strong understanding of healthcare provider data, including provider demographics, contract details, credentialing processes, and network participation. 

• Proficiency in using provider data management systems and software. 

• Excellent analytical, problem-solving, and decision-making skills. 

• Exceptional attention to detail and accuracy. 

• Excellent interpersonal and communication skills, with the ability to collaborate effectively across departments and with external partners. 

• Knowledge of healthcare regulations and compliance related to provider data management (HIPAA, NCQA, etc.). 

• Proven track record of process improvement and optimizing operational efficiency. 

• Ability to adapt to a fast-paced and evolving environment. 

Education and Experience: 

• Associate’s degree in Healthcare Administration, Business Administration, Information Management, or related field OR equivalent experience. 

• Minimum of 5 years of experience in provider data management, healthcare operations, or relate roles. 

Preferred Qualifications:  

• Bachelor’s degree preferred 

Work Location: 

• This position is remote 

Who we are:

Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.

Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.