Healthcare Data Management Specialist
Healthcare Data Management Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
***This position is remote but will be expected to work PST business hours.
Position Summary:
The Clinical Integration Network (CIN) and Accountable Care Organization (ACO) programs are clinically integrated physician networks sponsored by Dignity Health (DH). Similar to the CIN/ACO Networks the Greater Sacramento Service Area (GSSA) Network is a partnership between Mercy Medical Group Woodland Clinic and Hill Physicians Medical Group. In addition in order to fill service gaps in a CIN/ACO Network a complementary network of ancillary providers is maintained in each region. This role focuses on data management to support population health analytics and the effective operation of physician networks under Dignity Health MSO.
The Data Management Specialist is an employee of Dignity Health Management Service Organization (MSO). Under the direction of the CIN/ACO Manager this individual:
- provides data management support services to Dignity Healths CIN/ACO Networks Performance Insight Employer Relations and Valued Based Operations
- gathers maintains and reconciles accurate healthcare data within the Salesforce platform utilizing multiple data sources including 3rd party payors
- generates reports on physician networks to support performance monitoring and improvement
- conducts review of network adequacy and capabilities
- maintains and transmits fee schedules as necessary to third-party administrators (TPAs) and other stakeholders
- provides customer support services to Dignity Health CIN/ACO Networks
- supports population health analytics by ensuring data quality and accessibility
Qualifications
Minimum Qualifications:
- Minimum 3 years experience in provider relations provider credentialing provider database maintenance and reporting provider contracting and/or network development in a health care or managed care setting required
- High school diploma or equivalent required
- Demonstrated skills in the areas of written and verbal communication judgment and problem-solving
- Strong proficiency in Microsoft Office products required
- This position requires a highly motivated person with exceptional customer service relationship management and interpersonal skills
- Attention to detail
- Capable of independent thinking
- Ability to perform in a team environment
Preferred Qualifications:
- Bachelors Degree in Business Finance Health Care Management Economics or equivalent preferred.
- Experience with Protected Health Information (PHI) preferred.
- Strong understanding of HIPAA regulations medical terminology and data integrity principles preferred.
- Strong proficiency in Google Workspace preferred.
Required Experience:
Unclear Seniority
Employment Type
Unclear
