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Added 9 mins ago
10333 - Residency Maintenance Inspector
VDOT
Salem, VA
…consultants. Proactively resolve issues at the lowest level. Project a positive VDOT image. Keep supervisor advised of important development and field…
Added 18 mins ago
Project Manager - Teledata, Telecommunications & Fiber Optic
Cache Valley Electric
Lubbock, TX
Project Manager – Teledata, Telecommunications & Fiber Optic
Added 18 mins ago
Survey Manager
Cache Valley Electric
Salt Lake City, UT
Cache Valley Electric is seeking an experienced Survey Manager to support the construction and development of substation and transmission line projects.
Added 18 mins ago
Assistant Project Manager - Mission Critical
Cache Valley Electric
Memphis, TN
Cache Valley Electric is seeking an Assistant Project Manager to support the planning, coordination, execution, and successful delivery of large-scale data center and mission-critical…
Added 18 mins ago
Sr. Customer Success Manager, Solutions
CADDi
Chicago, IL
Experience in consulting, strategy & operations, BizOps, project management, rotational leadership development programs, or customer success
Added 23 mins ago
Executive Advisor Water Economics & Infrastructure Investment Strategy
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RYE, NY
…advisor to utility executives, the role also leads business development, mentors multidisciplinary teams, and brings global best practices to deliver integrated, financially sustainable…
Added 23 mins ago
Business Development Manager Signage, Flags & Banners
Five Boro Banner and Sign Inc
QUEENS VILLAGE, NY
Business Development Manager Signage, Flags & BannersCompany: Five Boro Flag, Banner and Sign Inc.Location: Queens Village, NYEmployment Type: Full-TimeTerritory: New York City, Long Island…
Added 23 mins ago
Program Manager Quality Management
Avangrid Service Co
LANCASTER, NY
Program Manager - Quality Management Location: Lancaster, NY Work Type: Office, 5 days The base salary for this position is dependent upon experience and location ranging from $84,000…
Added 23 mins ago
Outside Sales Representative Sales Outside Sales
BFS Group LLC
CICERO, NY
…experienced members of the sales staff. May also act as Sales Manager during his/her absence. ESSENTIAL DUTIES AND RESPONSIBILITIES * Represents the company during the sales process by…
Added 23 mins ago
Medical Technologist Specialist
RochesterRegional Health
NEWARK, NY
…and/or students for an area or instrumentation. Assists in the development, validation, and training of new procedures/instrumentation Assistance with inventory management (e.g. assigned…
Added 24 mins ago
Senior Project Manager Civil Engineering
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Langan provides expert land development engineering and environmental consulting services for major developers, renewable energy producers, energy companies, corporations, healthcare…
Added 24 mins ago
Senior Project Engineer/Manager Mission Critical Water and Wastewater
Langan Engineering and Environmental Services, LLC
WHITE PLAINS, NY
Langan provides expert land development engineering and environmental consulting services for major developers, renewable energy producers, energy companies, corporations, healthcare…
Added 24 mins ago
Senior Project Manager Civil Engineering
Langan Engineering and Environmental Services, LLC
MELVILLE, NY
Langan provides expert land development engineering and environmental consulting services for major developers, renewable energy producers, energy companies, corporations, healthcare…
Added 24 mins ago
Director, CIB & Research Compliance - ECM & M&A
Scotiabank
New York City, NY
…products and services relevant to the financing and strategic development needs of our clients. Our products include debt and equity financing, mergers & acquisitions, corporate banking,…
Added 24 mins ago
Senior Project Manager Environmental
Langan Engineering and Environmental Services, LLC
SYRACUSE, NY
Langan provides expert land development engineering and environmental consulting services for major developers, renewable energy producers, energy companies, corporations, healthcare…
Added 24 mins ago
IT Manager
Fusco Personnel, Inc.
ALBANY, NY
IT MANAGER ALBANY, NYWe are recruiting for an experienced, hands-on leader to serve as our IT Manager in Albany, NY, running IT operations, cybersecurity, compliance, and technology…
Added 24 mins ago
Technical Sales Manager Rack and Row Solutions
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ALBANY, NY
Job Description POSITION SUMMARY We are looking for an in-market Technical Sales Manager - Rack & Row Solutions to support the growth of Vertiv rack and cabinet solutions. This role is…
Added 24 mins ago
Product Manager, MedD
Navitus Health Services
ALBANY, NY
OverviewNavitus Health Solutions is seeking a Product Manager (PM) to join our team!This position is responsible for providing product management for the Navitus Medicare Part D program.…
Added 24 mins ago
PM Major Construction
Avangrid Service Co
ROCHESTER, NY
…dental, and vision insurance Tuition reimbursement Professional development and clear career-advancement pathways For more information, please visit: Benefits - Avangrid Job Summary The…
Added 24 mins ago
RH
Billing & Compliance Analyst Rochester General Hospital (FullTime, Days)
RochesterRegional Health
ROCHESTER, NY
- Full-time
…identify charging or coding issues, and reports findings to office manager. Performs tasks such as pivot table creation and data mining. Participates in appropriate committees. Coordinates…
Added 24 mins ago
Executive Director, Education Administration - Graduate School
Weill Cornell Medical College
New York, NY
Oversees career services, professional development, marketing, and communication activities in support of institutional objectives and student success.
Added 24 mins ago
NL
Research Coordinator
NYU Langone Medical Center
New York, NY
- $66,299.99 to $66,300 USD / year
…studies. Develops preliminary study budgets for review by the Project Manager, Assistant Director, PI, and other designated leadership. Evaluates sponsor-proposed budgets to assess whether…
Added 24 mins ago
NL
Desktop Support Manager
NYU Langone Medical Center
New York, NY
- $121,792.21 to $124,678.91 USD / year
We have an exciting opportunity to join our team as a Desktop Support Manager, supporting Education, Research and Clinical desktop.
Added 24 mins ago
Manager Strategic Commercial Consulting
Syneos Health/ inVentiv Health Commercial LLC
NEW YORK, NY
Added 24 mins ago
Business Valuation Advisory Manager
Cohnreznick LLP
NEW YORK, NY
…Nexia. We currently have an exciting career opportunity for a Manager to join our Valuation Advisory practice. CohnReznick is a hybrid firm and most of our professionals are located within…

Centene Corporation

Manager, Provider Data Management

Springfield, IL, United States

$70,100 to $126,200 USD / year · Full-time

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Job details

Pay: $70,100 to $126,200 USD / year
Job type: Full-time
Posting language: English
Posted: Jul 23, 2026

Original job description

Business Area: Administrative & Claims Operations

Job Type: Full time

Note: This is a fully remote role with Central time (CST) working hours along with 10% travel. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Position Purpose: Within the Illinois Health Plan, the Provider Data Manager leads inventory, quality, production, and employee development while ensuring accountability, operational excellence, and a culture of trust. They partner across departments, drive process and system improvements, and leverage dashboards and data-driven insights to enhance efficiency, decision-making, and organizational outcomes. The Manager Provider Data Management is responsible for managing the activities that support all provider data management projects, policies and procedures, along with provider contract setup activities, key initiatives that relate to operational issues for provider data maintenance, key initiatives that support successful claims adjudication, directory accuracy as well as other operational projects that support internal departments. Works in conjunction with Credentialing for the set up and maintenance of all delegated entity arrangements. Responsible for overseeing the development of reports to support the strategic and operational requirements of the department.

Identifies and implements value-added programs and initiatives that support and enhance network contracting to achieve operational efficiency.
Acts as main contact for internal departments on projects that require changes to business applications (provider, contracts, and claims) on the system.
Meets with internal departments to identify project requirements and ensure satisfactory project completion.
Works with Information Systems Department on special projects.
Supervises staff and directs and monitors the staff activity.
Conducts reviews, one on ones and provides monthly statistics to staff on their performance.
Ensures staff is meeting both quality and production scores.
Turnaround times for production standards should also be carefully monitored and reported.
Maintains detailed understanding and working knowledge of business applications specifically provider data management, provider reimbursement, and claims processing on the system.
Develops cost benefit analysis for projects to assist in prioritization and project justification.
Works with other internal departments in the development of such policies and procedures and updates such policies and procedures in manual and training as needed.
Heads meetings to discuss and communicate new business workflows and new policies and procedures.
Conducts training for both internal and external departments on provider data services policies and procedures.
Resolves issues within internal departments related to interpretation of contracts or policies.
Defines reporting and information initiatives with internal and external customers to support strategic and operational requirements.
Performs ad-hoc reporting as necessary to meet strategic and operational requirements.
Maintains provider data integrity guidelines for delegated credentialing vendors.
Prioritizes data analysis projects based on business needs.
Designs and develops workflows, protocols, and process models for use with standard and ad-hoc reports.
Maintains, tests, and revises current data analysis programs.
Manages input data from various internal and external sources.
Performs other duties as assigned.
Complies with all policies and standards.

Preferred Skills:

Strong history of leadership roles with direct reports.

Proficient in Microsoft Office Suite, especially Excel, Visio, and Word.

Good communication and meeting facilitation skills.

Knowledge and experience working with Portico, Amisys, Directory, and other provider-related systems.

Required Education/Experience:

Bachelor’s degree required for this role in business administration, Health Care, or a related field.

1-3 years management experience in a business setting required.

Minimum (3) years' experience working in a health care setting, preferably with a background in provider relations, provider data services, information technology or claims operations. Experience developing new business processes and procedures.

Pay Range: $70,100.00 - $126,200.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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