Northwest Permanente, P.C. is a self-governed, physician led, multi-specialty group of over 1500 physicians, surgeons, and clinicians, caring for over 600,000 members in Oregon and Southwest Washington. Northwest Permanente is seeking a Provider Data Management Specialist Lead to act in a lead capacity for the provider data management daily activities that support contracting, claims payment, credentialing, referrals, regulatory and network adequacy reporting, and directory display. The position will collaborate with internal staff to ensure the timely and accurate configuration of contract data, provider information, and practitioner demographics in source systems within contract specifications, business rules and system architecture.
This position will help define data collection methodologies, processes, business rules, policies, reporting tools and metrics to ensure accuracy of provider data and identify opportunities to increase productivity and efficiency.
In addition, the position will function as a liaison between providers, contract managers, systems teams, and credentialing staff as well as other related departments to ensure data integrity, error resolution, and process improvement.
Leads and is accountable for daily end-to-end provider data collection, setup, and maintenance to ensure accurate and timely data needed to support functional areas including contracting, claims payment, credentialing, referrals, regulatory and network adequacy reporting, and directory display.
At Northwest Permanente, P.C., we are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. Northwest Permanente, P.C. believes that diversity, inclusion, and equity among our employees is critical to our success and we seek to recruit, develop and retain the most talented people from a diverse candidate pool.