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Humana is seeking a Provider Data Management and Contract Load Professional to support the Wisconsin Medicaid market. This position performs data maintenance for Provider Data Management System and supports various functions within the WI Medicaid Market for all lines of business (Medicare DSNP, Medicaid, and Long term Care), including but not necessarily limited to supporting Provider Network Development and Credentialing.

• Maintains accurate, up to date provider data in the Provider Data Management System (PDMS).
• Works in collaboration with other staff to ensure that all provider updates (adds, changes, delete) requests are researched, analyzed, responded to, and completed in an accurate and timely manner.
• Creates Provider records in the PDMS from received applications.
• Maintains standards for database integrity and quality assurance.
• Outreach to practitioners on unreturned applications.
• Updates practitioner rosters within Provider Data Management System for delegated credentialing agreements.
• Generates recredentialing applications and conducts follow up with organizational providers on unret...