Provider Data Management CoordinatoreternalHealth, The Next Generation of Medicare Advantage • Boston, MA, US
serp_jobs.error_messages.no_longer_accepting
Provider Data Management Coordinator
eternalHealth, The Next Generation of Medicare Advantage • Boston, MA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionDatabase Maintenance : Add, update, and terminate provider records including demographic, credentialing, and contract information, ensuring data is processed both timely and accurately. Provider Outreach : Collaborate with Provider Representatives to conduct outreach to contracted providers as needed for roster updates Reporting : Generate regular status and compliance reports on a daily and weekly basis for internal and external stakeholders. Compliance Monitoring : Monitor provider data to ensure ongoing compliance with state regulatory requirements and internal company policies. Audit Support : Reconcile provider data, respond to audit requests, and verify that claims provider setup is accurate and complete. Administrative Duties : Maintain files, track data change requests, and provide statistical and analytical support as required. Data Accuracy : Ensure provider data remains accurate, current, and compliant with all requirements. Report Generation : Process updates and generate necessary reports related to provider database maintenance. Operational Support : Assist with network operations, quality assurance, and claims services. Primary Contact : Serve as the main point of contact for provider demographic changes, terminations, additions, reconciliations, and audit activities. Collaboration : Work closely with internal teams and external providers to ensure data submissions are timely and accurate. Auditing : Perform regular audits to verify provider data is accurate and complete. Policy Development : Assist in developing and implementing policies and procedures for effective data management. Training and Support : Provide training and guidance to internal teams on provider data management processes. Additional duties as assigned. High school diploma or equivalent required; Associate’s degree in a related field is often preferred. Experience in provider data management, network administration, or within a managed care environment. Strong attention to detail and excellent organizational skills. Effective communication and interpersonal abilities. Proficiency in data management software and related tools. Capability to work independently and collaboratively within a team. Familiarity with regulatory and compliance requirements related to provider data management.
Job Description
Provider Data Management Coordinator
eternalHealth – The Next Generation of Medicare Advantage
Healthcare is confusing, but it doesn’t need to be. A consumer-centric health plan based in Boston, MA, we are a tech-focused start up that is committed to creating long-lasting partnerships with our members, our providers, and you!
About this role : The Provider Data Management Coordinator is responsible for maintaining the accuracy and compliance of provider data in accordance with internal, regulatory, and state requirements. This position ensures that provider databases are kept up to date, processes all necessary updates, produces essential reports, and supports functions related to network operations, quality assurance, and claims services.
- Key responsibilities include maintaining provider data accuracy and compliance.
- Updating provider databases.
- Generating essential reports.
- Supporting network operations, quality assurance, and claims services.
Key Responsibilities
Qualifications and Skills
Working with eternalHealth : eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.
Accommodation : Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodation during the application process (which may include a job-related assessment) please contact us separately at HR@eternalhealth.com.
serp_jobs.job_alerts.create_a_job
Management Coordinator • Boston, MA, US
Job_description.internal_linking.related_jobs
NeighborHealth Dental Registration And Scheduling Specialist.Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest commun...serp_jobs.internal_linking.show_more
Under the supervision of the Program Manager, the Program Coordinator facilitates the day to day operations of harm reduction services at Access : Drug User Health (Access).
On-site services include : ...serp_jobs.internal_linking.show_more
Job Title : Patient Engagement Coordinator.Locations : North Reading, MA with limited travel to Boston, MA and Cambridge, MA.
The Patient Engagement Coordinator is the front-facing ambassador of the p...serp_jobs.internal_linking.show_more
Fast-paced, detail-driven role with opportunity to grow beyond credentialing.Great exposure to large healthcare systems and team collaboration.
You'll learn valuable skills used across hospitals and...serp_jobs.internal_linking.show_more
Join our team at Chestnut Woods Rehabilitation and Healthcare Center.Full and Part-time opportunities available .Competitive Wages $35-$60 Hourly.
Responsibilities of MDS Coordinator : .Ensure ti...serp_jobs.internal_linking.show_more
Boston and the Merrimack Valley.Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and...serp_jobs.internal_linking.show_more
Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!.As one of the largest community health centers in the country, NeighborHealth is proud to...serp_jobs.internal_linking.show_more
Provides administrative support to unit-based and hospital-wide clinicians and staff in an inpatient unit, functioning as the liaison between the patient, visitors and the clinicians.Expected to ef...serp_jobs.internal_linking.show_more
Job description Founded in 2003, Guardian Angel Senior Services was created from a dream that we could make a difference in the lives of seniors and go above and beyond the call of duty.Apply today...serp_jobs.internal_linking.show_more
If you are an existing employee of South Shore Health then please apply through the internal career site.LOC0010 - Health Express-Weymouth330 Washington StreetWeymouth, MA 02188.Varied Shifts (Unit...serp_jobs.internal_linking.show_more
We are currently hiring a Full Time T&E Coordinator • in Boston, MA.A Hybrid position at Boston Beer requires that our coworkers reside within commuting distance to be onsite according to their team...serp_jobs.internal_linking.show_more
Thank you for your interest in a career at NeighborHealth.As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commi...serp_jobs.internal_linking.show_more
Site : The General Hospital Corporation.Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to a...serp_jobs.internal_linking.show_more
Here at Communitas, we are dedicated to delivering individualized, family-centered services, programs, and support for people with intellectual and developmental disabilities, throughout their life...serp_jobs.internal_linking.show_more
DATA INTEGRITY COORDINATOR, GIFT ACCOUNT, Development & Alumni Relations, Gifts — Boston University.Our mission in Boston University Development & Alumni Relations (DAR) is to harness philanthropy ...serp_jobs.internal_linking.show_more
Our Client, a Retail Pharmacy company, is looking for a Case Management Coordinator for their Brevard County, FL (Melbourne / Palm Bay) location.
Coordinates case management activities for Medicaid Lo...serp_jobs.internal_linking.show_more
Clinic Coordinator Location : 450 Brookline Ave, Boston, MA 02215 Category : Administration Support / Customer Service Employment Type : full time Clinic Coordinators demonstrate the values and mission ...serp_jobs.internal_linking.show_more
A major consulting firm seeks a Health Provider Consulting Manager for remote work in Boston, MA.Ideal candidates should have over 6 years of experience in healthcare consulting, strong leadership,...serp_jobs.internal_linking.show_more
Coordinator, Patient Access SE
NeighborHealth • Boston, MA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Program Coordinator, Drug User Health Program
Fenway Health • Cambridge, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Patient Engagement Coordinator
Center Eye Care • Brockton, MA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Records Coordinator
Professional Staffing Group • Quincy, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
MDS Coordinator
Chestnut Woods Rehabilitation & Healthcare Center • Saugus, Massachusetts
serp_jobs.job_card.part_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Patient Access Coordinator
Casa Esperanza • Boston, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Coordinator, Patient Access
East Boston Neighborhood Health Center • East Boston, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Oncology Unit Coordinator BWH
Brigham and Women's Hospital • Boston, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Scheduling Coordinator
Guardian Angel Senior Services • Lynnfield, MA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_30
Patient Coordinator-1
South Shore Health • Weymouth, MA, United States
serp_jobs.job_card.part_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
T&E Coordinator
Boston Beer Corporation • Boston, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Coordinator, Patient Access
Boston Staffing • East Boston, MA, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Department Coordinator - IHP
InsideHigherEd • Boston, Massachusetts, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Family Support Transition Coordinator
Communitas, Inc. • Wakefield, MA, US
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
serp_jobs.last_updated.last_updated_variable_days
DATA INTEGRITY COORDINATOR, GIFT ACCOUNT, Development & Alumni Relations, Gifts
Boston University • Boston, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Case Management Coordinator
ICONMA • Boston, Massachusetts, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Clinic Coordinator - (Sat and Sun 6 : 45am-5 : 15pm)
Dana-Farber Cancer Institute • South Boston, MA, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Remote Health Provider Consulting Manager
Cognizant • Boston, MA, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted