About the Role
This role is responsible for managing provider data across multiple systems, ensuring data accuracy, consistency, and compliance with internal and external standards. The specialist collaborates with cross-functional teams to resolve data discrepancies and support operational workflows.
Responsibilities
- Maintain provider data in corporate systems to ensure completeness and accuracy
- Verify provider credentials and supporting documentation
- Process provider enrollment and revalidation requests
- Respond to internal and external data inquiries
- Support provider directory accuracy and compliance initiatives
- Identify and resolve data inconsistencies across platforms
- Collaborate with IT and vendor teams on data integration
- Ensure adherence to regulatory and accreditation requirements
- Generate reports on provider data metrics and quality
- Participate in audits and data validation projects
- Update provider information in response to changes
- Facilitate provider data transfers during system migrations
- Monitor data workflows for efficiency and accuracy
- Escalate complex issues to appropriate stakeholders
- Maintain confidentiality of sensitive provider information
- Assist in onboarding new providers into the network
- Track and report on data processing timelines
- Support provider portal functionality and updates
- Coordinate with provider relations teams on data issues
- Implement process improvements to enhance data quality
- Ensure timely communication with provider offices
- Follow established protocols for data entry and validation
- Assist in testing new system enhancements
- Maintain documentation for data procedures
- Support network adequacy reporting requirements
Compensation
Competitive salary and benefits package
Work Arrangement
Hybrid work model
Team
Collaborative team environment within provider data management
Why Join Us
- Opportunity to work in a mission-driven organization focused on community health
- Supportive culture that values employee development and work-life balance
What We Offer
- Comprehensive medical, dental, and vision coverage
- Retirement savings plan with company match
- Paid time off and holidays
- Professional growth and training programs
- Employee assistance and wellness resources
Not available
