Medicaid Provider Operations Support – Provider Data Services

October 29, 2025

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:

Medicaid Provider Operations Support – Provider Data Services – Amazon Store