Georgia Provider Data Specialist

Job Summary

A company is looking for a Provider Data Management Specialist II to maintain accurate databases and reports for network compliance.

Key Responsibilities

• Maintain and update provider data applications and coordinate the data verification process for enrolled providers
• Oversee operational and administrative activities related to provider relations, including education, marketing, and credentialing
• Manage complex provider data issues and coordinate data between health plan databases and external vendors

Required Qualifications

• High school diploma or equivalent
• 3+ years of provider data or network administration experience, preferably in managed care
• Proficient in Microsoft Office applications, especially Access and Excel
• Database management, reporting, auditing, and analysis experience preferred
• Associate's degree in healthcare or a related field preferred