At Paramount, we offer insurance to both large and small groups and also cater to Medicare (Paramount Elite) subscribers in northwest Ohio and southeast Michigan. Our Medicaid product (Paramount Advantage) services those living in the state of Ohio. We maintain an accreditation by the NCQA - the National Committee for Quality Assurance - for our Ohio HMO, Elite and Advantage products. We're also part of ProMedica, which is ranked the second most integrated health system in the U.S. and No. 1 in the Midwest.Our mission is to improve your health and well-being. So we're committed to your wellness with various initiatives, such as preventive services, online knowledge, health risk assessments, our Steps2Health disease management programs, health fairs, and more.SummaryResponsible for the management of the provider database team's activities, training, and day-to-day operations by directing, guiding, and coordinating work assignment. Responsible for timely and accurate provider entry for claims payment to ensure high level of provider, member, and internal customer satisfaction.Principal Accountabilities* Manage and represent department on product development or expansion projects or other specialized implementations. To include coordinating testing from a provider data management perspective on new upgrades as provided by IT staff.* Develop and maintain all written documentation (policies and desk level procedures) to support the provider data management staff processes.* Review and assign provider data management configuration requests in Service Now. Work with departments to clarify request requirements.* Develop and run queries to create reports through SQL, Access and Excel as necessary to identify provider deficiencies and create department standards.* Responsible for reviewing provider data issues as related to providers and analyzing and determining if there is a system deficiency.* Monitor and provide technical guidance to provider data management staff. Lead and coordinate provider data management staff in projects.* Perform other duties as necessary to support the overall operations of the provider data management team.Job Requirements* Bachelor's degree or equivalent work experience, preferred.* Ability to manage processes and prioritize multiple tasks.* Minimum of five or more years managed care experience in a complex, multi-product environment, preferred* Detailed knowledge of data management subsystems preferred.* Demonstrated strong working knowledge of medical terminology preferred* Working knowledge of data management; Excel, SQL, Access.ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. It serves communities in 28 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 56,000 employees, 13 hospitals, 2,100+ physicians and advanced practice providers with privileges, 900+ healthcare providers employed by ProMedica Physicians, a health plan, and nearly 400 assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, outpatient rehabilitation clinics, and hospice and home health care agencies. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. For more information about ProMedica, please visit www.promedica.org/aboutus.Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.Equal Opportunity Employer/Drug-Free WorkplaceEmployee Exemption TypeExemptJob TypeFull TimeBudgeted Hours / Pay Period80Shift TypeDaysShift HoursWeekendsOn-call RequirementsAdditional Schedule Details