Provider Data Management Specialist

A company is looking for a Provider Data Management Specialist I to maintain accurate databases and reports for network compliance. Key Responsibilities Create and maintain multiple databases related to provider networks and prior authorizations Oversee the provider termination process and manage provider records in the medical information system Schedule monthly provider verifications and update Medicare and Medicaid documents to ensure state compliance Required Qualifications High school diploma or equivalent 2+ years of provider data or network administration experience, preferably in managed care Proficient in Microsoft Office applications, especially Access and Excel Previous experience with database management, reporting, and analysis preferred Associate's degree in health care or a related field preferred

Mar 31, 2025 - 16:58

A company is looking for a Provider Data Management Specialist I to maintain accurate databases and reports for network compliance. Key Responsibilities Create and maintain multiple databases related to provider networks and prior authorizations Oversee the provider termination process and manage provider records in the medical information system Schedule monthly provider verifications and update Medicare and Medicaid documents to ensure state compliance Required Qualifications High school diploma or equivalent 2+ years of provider data or network administration experience, preferably in managed care Proficient in Microsoft Office applications, especially Access and Excel Previous experience with database management, reporting, and analysis preferred Associate's degree in health care or a related field preferred