Supervisor Provider Data Quality Management

Highmark Health

Base: $62,700.00 - $97,200.00; bonus/equity: not s...
Not specified (assumed office-based due to managerial responsibilities)
1 year experience working with providers
1-2 years staff oversight experience
High school diploma or ged required
Highmark Health is seeking a Supervisor for their Provider Data Quality Management team to oversee provider file representatives and ensure the accuracy of provider data. The role includes managing internal audits, training staff, and maintaining departmental policies. Candidates should have relevant experience in provider data management and staff oversight

Job Summary

  • This role manages a team of 18 provider file representatives responsible for system implementation of provider contracts and demographics.
  • The supervisor oversees an internal audit quality review program to ensure data accuracy and provides weekly management reports on quality and volume trends.
  • Candidates must demonstrate strong business, analytical, and communication skills while maintaining compliance with HIPAA and company privacy policies.

Matching Summary

Match Score: 75

Highmark Health is seeking a Supervisor for their Provider Data Quality Management team to oversee provider file representatives and ensure the accuracy of provider data. The role includes managing internal audits, training staff, and maintaining departmental policies. Candidates should have relevant experience in provider data management and staff oversight.

Salary

Base: $62,700.00 - $97,200.00; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • 1 year experience working with providers
  • 1-2 years staff oversight experience
  • High school diploma or GED required

Nice-to-have

  • Medicaid/Medicare system setup experience
  • Managed care organization background
  • Project management skills demonstrated

Key Requirements

  • Minimum High school diploma or GED
  • 1 year provider enrollment/maintenance experience
  • 1-2 years supervisory/development experience

Work Rights

Not specified

Tailored Resume

Cover Letter