Sr. Manager of Provider Data Management

Primary Responsibilities:

• The Sr. Manager of Provider Data Management oversees daily operations for provider data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT
• Responsibilities include maintaining a unified SQL-based provider data source supporting downstream systems such as claims, UM systems, and provider directories

Required Qualifications:

• 10+ years of health care or health plan experience
• Extensive experience with SQL servers, Excel, Access, Microsoft Data Services
• Knowledge of CMS regulations and managed care payment methodologies
• Proficiency in Microsoft Office
• Excellent written and verbal communication skills

Preferred Qualifications:

• Supervisory or management experience in a managed care environment
• Experience with MD Staff, EPIC, provider data management software, SQL server
• Working Environment & Physical Demands
• Office-based environment, minimal noise
• Regular computer use and extended sitting
• Occasional walking or bending; ability to lift up to 25 lbs.