Date Posted: 03/11/2026
Hiring Organization: Rose International
Position Number: 498241
Industry: Insurance
Job Title: Manager, Provider Data Management
Job Location: Pearland, TX, USA, 77584
Work Model: Onsite
Shift: 9-5 CST
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 3
Min Hourly Rate($): 45.00
Max Hourly Rate($): 47.00
Must Have Skills/Attributes: CMS, EPIC, SQL Server
Experience Desired: Previous supervisory or management experience in a managed care environment (5 yrs); MD Staff, EPIC, Provider Data Management, SQL server (5 yrs)
Required Minimum Education: Bachelor’s Degree
**C2C is not available**
Job Description
Education:
• Bachelor’s degree or equivalent work experience
Minimum Qualifications:
• Previous supervisory or management experience in a managed care environment
• Special Skills: MD Staff, EPIC, Provider Data Management, SQL server
Preferred Qualifications:
• 10 years health care or health plan experience
• Special Skills: Extensive experience with SQL servers, data management systems, including but not limited to Excel, Access, and Microsoft Data Services.
• Knowledge of CMS rules and regulations, Managed Care payment methodologies, proficient in MS office products, and process improvement methodology
• Other: Excellent written and verbal communication skills
Job Summary:
The Sr. Manager of Provider Data Management will oversee the daily operations for the management of employed and contracted provider data for Kelsey Seybold Clinic, Health Plan and Physicians Group of Texas (PGT). They will be responsible for creating a single data source housed on a SQL server that will feed all appropriate downstream systems, i.e. KCA website, KSMG website, claims, UM systems, etc. They will be responsible for the accuracy and efficient management of provider data coming from delegate groups and the providers/facilities credentialed by PGT, KelseyCare Advantage and Kelsey-Seybold. Responsibilities include producing all provider data outputs, including but not limited to, required reporting, network participating rosters, Provider Directories, network adequacy reports and maps. He/she works on standards, policy development, management reporting, collection and analysis of health plan data, leading cross-functional teams to address data management issues; producing datasets and reports for analysis using system reporting tools.
Job Duties:
Essential Duties: (a = site specific; b = standard duties)
Performance
Factor Weight
Total Score
NOTE: Weigh duties as appropriate to reflect importance and/or time expended on each.
• 30% 1b Research and develop a provider data management system housed on an SQL server and work with the appropriate internal departments to ensure accurate data output to the various systems and data sources. Policy development, management reporting, collection and analysis of health plan data.
• 30% 2b Oversees the team to produce accurate and timely production of all Provider Data outputs for Kelsey-Seybold, KelseyCare Advantage and PGT data. This includes the KCA directory/website, KSC monthly roster, KCA web search, Sales Directory, Quest Database, Online Affiliate Directory, and Health Plan Rosters to the carriers.
• 15% 3b Creates and maintains a single source of Provider Data for the health system, with ongoing quality check processes to ensure accuracy.
• 5% 4b Ongoing monitoring of Network Adequacy for the Health Plan through Quest software.
• 5% 6b Maintains positive working relationship with internal customers such as IT, System Support, Marketing, and Health Plan Operations
• 5% 7b Oversees, develops and revises departmental policy and procedure.
• 5% 8b Provides input and makes recommendations for contracting, assists in maintaining contracting profiles.
• 5% 9a Other duties as assigned.
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
It was great working for Rose International. Everyone was extremely helpful.
Rosann, Consultant
The interactions that I have had with your representatives have always been prompt and very professional. I am very pleased and impressed with your company and services.
Sioe, Consultant
Rose International maintained good communication during assignments and are very informative through email and phone calls.
Sade, Consultant
Each time I contacted Rose, I was completely satisfied with the great attention and customer service I received. Each person was extremely knowledgeable and patient with my concerns or questions.
Diana, Consultant
Your team at Rose International is always very helpful and responsive.
Barbara, Consultant
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