Supervisor, Provider Data Services

Role Description

The Supervisor, Provider Data Services oversees day‑to‑day provider data maintenance activities supporting Mercy Care Plan operations. This role leads a fast‑paced team responsible for reviewing and submitting provider adds and changes, specifically within the QNXT system. In this capacity, they will be ensuring accuracy, timeliness, and compliance with CMS (Centers for Medicare & Medicaid Services) and AHCCCS (Arizona Health Care Cost Containment System) requirements.

• Ensures provider data integrity across downstream functions, including member directories, claims adjudication, encounter submissions, and regulatory utilization reporting.
• Provides operational oversight, coaching, and issue resolution.
• Partners with internal stakeholders to support business and regulatory needs.

Qualifications

• 1-2 years of experience working in provider data management, including work within a claims management system.
• 1–2 years of customer service and/or operational support experience.
• Must reside in Arizona.

Requirements

• Hands‑on experience working with QNXT provider data.
• Medical claims processing experience.
• Medical billing knowledge.
• Basic SQL experience (1–2 years).
• Intermediate Microsoft Excel skills (1–2 years).
• Ability to manage multiple assignments accurately and efficiently in a fast‑paced environment.
• Strong analytical skills with attention to detail.
• Effective written and verbal communication skills.

Benefits

• Comprehensive medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.