Provider Data Management Specialist

Job Summary

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

Key Responsibilities

• Maintain accurate databases and reports to monitor network compliance with state requirements
• Oversee the provider termination process and manage provider records in the medical information system
• Schedule monthly provider verifications and update delegated provider Medicare and Medicaid documents

Required Qualifications

• High school diploma or equivalent
• 2+ years of provider data or network administration experience, preferably in a managed care setting
• Proficient in Microsoft Office applications, particularly Access and Excel
• Previous experience with database management, reporting, and analysis preferred
• Associate's degree in health care or a related field preferred