Provider Operations Sr. Associate - Inbound Data Management

Job description

Job Description A bit about this role: Foundational to our strategy is our ability to be an engine of accurate provider data, which is inherently complex and ever-changing. This role is primarily responsible for validating and improving data quality to better serve our members and inform strategic decisions. You will be a true operator, managing queues, overseeing offshore workflows, and directly engaging with AI-enabled tools to optimize our processes. Your Responsibilities and Impact will include: Manage inbound data work queues (onboarding, provider terminations, and member notifications) to ensure fast, accurate processing. Actively maintain and iterate on AI-enabled workflows; evaluate AI agent performance to ensure high-quality output and operational efficiency. Support and oversee offshore team data management workflows and partner cross-functionally with Claims, Network, and Delegated Operations. Develop and maintain Standard Operating Procedures (SOPs); identify trends and patterns to predict and prevent bottlenecks. Maintain provider directory accuracy and lead data improvement projects, serving as a subject matter expert on all things provider data. Required skills and e...