Under direction of the Senior Manager, Provider Relations, the Provider Data Specialist is responsible for ensuring the integrity and accuracy of San Francisco Health Plan (SFHP)s provider data while working collaboratively with all internal and external stakeholders in an effort to meet and/or exceed all regulatory and industry provider data quality and accuracy standards. You will be a skilled user of the managed care system (QNXT) and have ex...
This position is responsible to enter, update and maintain provider data in HealthRules and other systems to support proper payment of claims. Administer processes to improve efficiency, effectiveness, and quality of UCare provider data. The position will also work with internal and external business partners to ensure optimal resolutions to data issues. Conduct and maintain provider setup processes in HealthRules claims platforms. Use Minnesota ...
