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Medicaid Provider Operations Support – Provider Data Services

Remote, USA Full-time Posted 2025-11-03
Job Description: • Serve as the primary Point of Contact (POC) for the Provider Data Services (PDS) team • Provide guidance to all analysts on issue resolution and accurate provider data setup • Collaborate with team members to identify, review, and research issues in support of effective solutions • Support the review and potential revision of documentation based on new guidance provided by the Liaison • Manage team production workflows to ensure timely and accurate case completion • Attend all regularly scheduled meetings as assigned • Review escalated requests, ensuring timely issue resolution • Serve as the Subject Matter Expert (SME) and Point of Contact (POC) for provider data clean-up across all Medicaid states • Identify and escalate significant trends or concerns within designated areas to MPOS leadership • Respond daily to inquiries and emails related to provider data Requirements: • Minimum of 1 year of experience in provider data management • Minimum of 1 year of direct communication experience with internal teams and external partners • Proficiency in managing provider data, supporting operations, and navigating network structures • Proficient in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook • Extensive knowledge of problem-solving methodologies and effective troubleshooting strategies • SQL experience (Preferred) • QuickBase experience (Preferred) • QNXT system knowledge (Preferred) • Excel Skills: (VLOOKUPS and Pivot Tables) Benefits: • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings • Tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access and many other benefits depending on eligibility Apply tot his job Apply To this Job

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