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PDM Administrator

Company: Cenpatico
Location: Milwaukee
Posted on: November 23, 2020

Job Description:

PDM Administrator USA-Wisconsin-Milwaukee Position Purpose: Update and maintain provider computer records for assigned sites * Add, change and terminate new or existing provider records in the medical information system * Schedule monthly provider verifications regarding provider enrollment specifications and demographics * Oversee Medicare and Medicaid provider directory process including achieving and maintaining compliance with the State and CMS with regards to the Medicare and Medicaid directory * Maintain internal demographics database utilizing information from provider s offices and monthly reports * Gather data from the assigned State to monitor current panel of providers and any possible sanctions * Assist various cross-functional departments in monitoring and auditing files, systems, and databases for accuracy Education/Experience: High school diploma or equivalent. 1+ years of provider data or network administration experience, preferably in managed care. Knowledge of the provider subsystems and claims processing. Previous database management experience preferred. 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. Network Development & Contracting Full-time

Keywords: Cenpatico, Milwaukee , PDM Administrator, Other , Milwaukee, Wisconsin

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