Provider Data Management Specialist

Job Summary

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 compliance documents for Medicare and Medicaid

Required Qualifications

• High school diploma or equivalent
• 2+ years of provider data or network administration experience, preferably in a managed care setting
• Associate's degree in health care or a related field preferred