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The Provider Data Services, Senior Coordinator automates and manually loads, maintains, and resolves all new and revised participating provider data transactions that are contractually sensitive or strategic in nature for Aetna's National Provider business. This role maintains and updates provider demographic and contract information in appropriate systems, in support of claims adjudication and provider directory.
Job Responsibility:
Automates and manually loads, maintains, and resolves all new and revised participating provider data transactions
Maintains and updates provider demographic and contract information in appropriate systems
Works collaboratively with internal/external constituents to implement new provider and complex contractual arrangements
Directly contacts providers and/or outside vendors to clarify data quality issues
Conducts and manages audits of provider information and escalates issues for resolution
Requirements:
Provider Data Services background (1-3 years) or Network background (1-3 years)
Demonstrated ability to handle multiple assignments
High school diploma, G.E.D., or equivalent experience
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