New York Licensed Provider Data Specialist

A company is looking for a Provider Data Specialist to manage and maintain provider data and ensure compliance with regulatory guidelines. Key Responsibilities Manage and verify provider data, ensuring accurate onboarding and timely payment of claims Credential and recredential providers and facilities per regulatory guidelines Collaborate with Network Management to maintain a robust provider network and monitor provider performance Required Qualifications Associates degree or equivalent combination of education and experience Two or more years of experience in health insurance or related office work Proficient in computer and database skills, particularly Microsoft Word and Excel Previous credentialing experience and familiarity with Macess, Facets, and Cactus preferred Availability to work full-time, virtually within New York State

Mar 3, 2025 - 23:18

A company is looking for a Provider Data Specialist to manage and maintain provider data and ensure compliance with regulatory guidelines. Key Responsibilities Manage and verify provider data, ensuring accurate onboarding and timely payment of claims Credential and recredential providers and facilities per regulatory guidelines Collaborate with Network Management to maintain a robust provider network and monitor provider performance Required Qualifications Associates degree or equivalent combination of education and experience Two or more years of experience in health insurance or related office work Proficient in computer and database skills, particularly Microsoft Word and Excel Previous credentialing experience and familiarity with Macess, Facets, and Cactus preferred Availability to work full-time, virtually within New York State