Embright is a growing clinically integrated network that includes providers from leading healthcare organizations throughout the Pacific Northwest.
The Provider Data Manager will work independently and collaboratively to maintain from start to finish the provider data management process. This process includes upstream relationships with Embright network partners and credentialing vendors, internal communication and maintenance of tools and records, and downstream work and communication with payers, TPA’s and various other stakeholders who receive Embright provider data. The role requires strong organizational skills, experience with SQL and/or Microsoft Access databases, familiarity with healthcare provider data management tools and processes, strong written and verbal communication skills, and the ability to build and maintain collaborative relationships across various stakeholder groups.
This document describes the major duties, responsibilities, and authorities of this job and is not intended to represent a complete list of all tasks and functions. It should be understood that incumbents may be asked to perform job-related duties beyond those explicitly described.
PRINCIPAL ACCOUNTABILITIES
Provider Data Management
· Receives updated rosters monthly from Embright network participants, tracking and maintaining any changes, additions, and deletions
· Works internally and with third party credentialing vendor partners in maintaining provider credentialing status in Embright tools and records
· Maintains provider contract status across different payers and products in Embright PDM tools and records
· Analyzes and improves the quality of Embright provider demographic data
· Holds accountability for maintaining and enhancing provider data management tools
· Uses internally developed as well as third party tools to clean and validate provider demographic information
· Creates and distributes Embright rosters in multiple formats to various key stakeholders.
· Supports the Senior Provider Network Manager and Director of Network Development in ensuring a standardized, efficient provider data management process
Organizational Expectations
· Adheres to data security and confidentiality protocols and procedures
· Contributes to the success of the organization by meeting organizational competency expectations and core values.
VALUES BASED BEHAVIORS
· Integrity: Do the right thing
· Innovation: Think outside of the box & dare to be unconventional
· Collaboration: Team up & create mutual understanding & clarity
· Agility: Lean into reality & adapt quickly
· Respect: Seek first to understand & embrace culturally competent inclusivity
· Excellence: Be your best & inspire the best in others
PROFESSIONAL COMPETENCIES
• Personal Competencies
o Integrity
o Accountability
o Strong Intellect
· Interpersonal Competencies
o Strong and effective written and verbal communication
o Collaboration
o Teamwork
o Flexibility and adaptability
o Thriving under volatile, uncertain, complex, and ambiguous circumstances
o Culturally competent
· Organizational competencies
o Data-driven
o Quality focus
o Highly organized
MINIMUM QUALIFICATIONS
KNOWLEDGE, SKILLS, & ABILITIES
· Proficient in Microsoft Excel, specifically working with text-based data
· Experienced with Microsoft Access and/or SQL databases
· Ability to use data to inform action
· Strong organizational skills
· Exhibits a growth mindset
EDUCATION & EXPERIENCE
• 3 + years’ experience in healthcare operations for an integrated health care delivery system and/or with a health plan/health insurer
• Experience in provider network support functions including provider data management, credentialing, and receiving and sending out roster updates
• Experience with maintaining and developing SQL and
Access-based database tools
For more information about this exciting opportunity, please contact Josh Walker, Director of Network Development at Josh.Walker@Embright.com