Provider Data Management Specialist

Imagine360 is seeking a Provider Data Management Specialist to join the team! In the role of Provider Data Management Specialist, you will play a critical part in helping ensure that all inbound provider demographic updates for the Imagine360 networks are addressed and resolved in a timely fashion. This directly impacts the experience of the members, providers, and third-party administrators that use our core product. Ideal candidates will thrive in a fast-paced repetitive task-oriented environment.

Position Location: 100% remote

Responsibilities include but are not limited to:

• Manage a queue of inbound requests from contracted providers using email and salesforce.

• Submit request to update provider data system with new demographic information (e.g. new TINs, location change, provider add/terms etc.).

• Respond in a timely manner to physician inquiries regarding status of their request, updates or initial contracting requests for effective dates or other contract/provider related information.

• Ensure all provider data / contracts are researched, located, and assigned quickly and appropriately to our team so it can be updated in relevant systems.

• Ensure organized storage of all relevant provider documents.

• Use effective verbal and written communication skills with teammates internally and doctors externally.

• Foster a service-oriented working environment by having a positive attitude and treating others in a kind and professional manner.

• Other duties as assigned by Director.

Required Experience/Education:

• Bachelors Degree

• Previous health insurance / network experience

• Previous provider relations or customer service experience

Skills and Abilities:

• Strong, effective communicator capable of navigating challenging conversations

• Excellent organizational, interpersonal, presentation, facilitation, and communication skills

• Demonstrated commitment to high professional ethical standards

• Ability to adapt to a fast paced, continually changing business and work environment while managing multiple priorities

• Strong technical, analytical, and trouble-shooting skills

• Excellent follow-through skills, self-motivated and detail-oriented

• Strong organizational skills to manage multiple projects, issues, and priorities effectively and simultaneously, with high level of attention to detail

• Proficient in the MS Office Suite to include MS Word, Excel and Outlook

• Proficient is using Salesforce

What can Imagine360 offer you?

• Multiple Health plan options

• Company paid employee premiums for disability and life insurance

• Parental Leave Policy

• 20 days PTO to start / 10 Paid Holidays

• Tuition reimbursement

• 401k Company contribution

• Company paid Short & Long term Disability plus Life Insurance

• Professional development initiatives / continuous learning opportunities

• Opportunities to participate in and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation