Provider Data Management Specialist

Job Summary

A company is looking for a Specialist, Provider Data Management.

Key Responsibilities

• Maintain provider data within the claims processing system
• Manage credentialing variables, demographics, and contract assignments based on provider updates
• Work on claims suspended in provider data work queues and manage concurrent projects

Required Qualifications

• BA preferred or equivalent experience with a quantitative emphasis
• 1-2 years of experience in healthcare related to credentialing, provider enrollment, or provider services
• Experience with process improvement methodologies
• Proficient in Microsoft Office, especially Excel
• General understanding of US healthcare and Managed Care Organizations