Jobs for Humanity is partnering with Oklahoma Complete Health to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: Oklahoma Complete Health

Join Our Team and Make a Difference in Your Community

At Centene, we believe in transforming the health of our communities one person at a time. With 28 million members, we are looking for individuals from all walks of life to help us provide quality healthcare solutions. Whether you are an elderly person, a refugee, someone with a visible or invisible disability, LGBTQIA+, or a veteran, we value and welcome you. We are committed to creating an inclusive culture that promotes work-life balance, offers competitive compensation, and supports continuous career development.

Position: Provider Data Specialist - Oklahoma

Position Purpose: As a Provider Data Specialist, you will play a crucial role in ensuring accurate provider information for state reporting, claims payment, and directories. Your responsibilities will include:

• Supporting the external provider representative to resolve provider data issues
• Researching and effectively responding to provider-related issues
• Submitting provider data entries to resolve demographic information changes
• Processing provider add, change, and termination forms
• Creating and maintaining spreadsheets for provider directories
• Tracking, updating, and auditing provider data
• Identifying and updating key provider groups and contracts
• Researching and addressing inaccuracies in claim payments
• Assisting providers with website registration
• Facilitating provider education through webinars
• Collaborating with other departments on tasks and projects
• Coaching and mentoring new hires and less experienced team members
• Completing special projects as assigned

Education/Experience: We prefer candidates with an associate's degree and experience in claims processing, billing, and/or coding. You should have at least five years of experience in a healthcare organization, managed care environment, medical provider office, or medical claims. Knowledge of health care, managed care, Medicare, or Medicaid is also important.

Skills and Qualifications:

• Demonstrated interpersonal and verbal communication skills
• Demonstrated written communication skills
• Organizational and time management skills
• Customer service skills
• Ability to work independently and multitask
• Problem-solving and analytical skills
• Proficiency in Microsoft Excel, Outlook, and Word

Our Comprehensive Benefits Package:

• Flexible work solutions including remote options, hybrid work schedules, and dress flexibility
• Competitive pay
• Paid time off including holidays
• Health insurance coverage for you and your dependents
• 401(k) and stock purchase plans
• Tuition reimbursement and best-in-class training and development

Centene is an equal opportunity employer that values diversity and welcomes individuals from all backgrounds. We believe in creating an inclusive workplace where everyone can thrive. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

If you are passionate about making a difference in your community and have the skills and qualifications for this position, we encourage you to apply using the form below. Join us in our mission to transform healthcare and improve the lives of millions.

Apply Now

Please fill out the form below to apply for this position: