Job Title
This role will be fully remote. The expected schedule is 8-5pm in the employee's timezone (EST, CST, MST, or PST).
The day to day job duties include:
- Work intake issue tickets
- Process reports – research cred/enrollment case issues and update records accordingly
- Data entry on SharePoint
- Assist with UAT of software enhancements
Top skills required:
- Provider Data Entry & Data Quality: Entered, validated, and maintained high-volume provider and contract data with a strong focus on accuracy, completeness, and alignment to state Medicaid/Medicare requirements.
- Ticket Intake & Triage (Healthcare Systems): Managed intake, prioritization, and resolution of issue tickets related to provider enrollment, credentialing, contracting, and provider data systems using Jira/ServiceNow/Salesforce.
- System Navigation & Multi-Tool Proficiency: Worked across multiple platforms simultaneously (ticketing systems, provider portals, spreadsheets, document repositories) to resolve issues efficiently. Preferably Salesforce proficiency.
- Issue Analysis & Escalation: Identified trends, root causes, and recurring issues; escalated risks and defects with appropriate documentation and business impact.
- Time Management & Prioritization: Balanced competing priorities across reactive ticket work, scheduled project tasks, and administrative responsibilities in a high-volume, deadline-driven environment.
- Operational & Administrative Support: Provided administrative and operational support including meeting coordination, agenda preparation, note-taking, action-item tracking, and follow-ups for project and operational teams.
- Stakeholder & End-User Support: Served as a primary point of contact for internal users, translating technical issues into business-friendly language and providing clear status updates and guidance.
- Attention to Detail & Confidentiality: Maintained strict attention to detail while handling sensitive provider and member data, adhering to HIPAA, internal controls, and data governance standards.
Required Education/Certification(s): Preferred: Bachelor's Degree or equivalent combination of education and experience.
Required Years of Experience: 2+ years in managed care, preferably in Provider Claims and/or Provider Network Administration.
Required IT equipment: Laptop, docking station 1-2 monitors