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Provider Data Integrity Administrator

Denver, CO · On-site +1

$77K - $96K/yr

The Provider Data Integrity Administrator ensures provider data consistency across internal and external stakeholders and plays a critical role in maintaining reliable data needed for operational ...

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Provider Administrator information

What are the key skills and qualifications needed to thrive as a Provider Administrator, and why are they important?

To thrive as a Provider Administrator, you need strong organizational skills, knowledge of healthcare regulations, and experience in provider credentialing or healthcare administration, often supported by a bachelor's degree in health administration or a related field. Familiarity with credentialing software, health information systems, and compliance reporting tools such as CAQH is typically required. Excellent attention to detail, problem-solving abilities, and strong interpersonal communication set top performers apart in this role. These competencies are crucial for ensuring providers are properly credentialed, compliant with regulations, and that healthcare operations run smoothly.

How does a Provider Administrator typically collaborate with healthcare providers and insurance networks?

A Provider Administrator serves as a key liaison between healthcare providers and insurance networks, ensuring that provider information is accurate, credentialing processes are completed efficiently, and all necessary documentation is up to date. They often work closely with provider relations teams, compliance officers, and IT professionals to manage databases and resolve issues quickly. Regular communication and coordination with both internal teams and external partners are essential, making strong organizational and interpersonal skills vital for success. This collaborative environment helps maintain smooth operations and supports high-quality patient care.

What is a Provider Administrator?

A Provider Administrator is a professional responsible for managing the administrative operations of healthcare providers or organizations. Their duties often include overseeing provider credentialing, ensuring compliance with regulations, maintaining provider records, and facilitating communication between healthcare providers and insurance companies. They play a key role in ensuring that healthcare services are delivered efficiently and meet quality standards. Provider Administrators may work in hospitals, clinics, or health insurance companies, and their work supports both healthcare providers and patients.

What is the difference between Provider Administrator vs Medical Office Manager?

AspectProvider AdministratorMedical Office Manager
CredentialsTypically requires healthcare administration or related certificationsOften has healthcare or administrative certifications, but less specialized
Work EnvironmentHealthcare facilities, clinics, hospitalsMedical offices, clinics, outpatient facilities
Employer & Industry UsageHospitals, healthcare networks, insurance providersPrivate practices, outpatient clinics, medical offices
Common Search & ComparisonYesYes

The Provider Administrator typically oversees broader healthcare operations, including compliance and strategic planning, often working at larger institutions. The Medical Office Manager focuses on daily administrative tasks within a medical practice, managing staff, scheduling, and patient services. Both roles require healthcare knowledge and administrative skills but differ mainly in scope and work setting.

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Provider Administrator jobs near you
Infographic showing various Provider Administrator job openings in the United States as of May 2026, with employment types broken down into 9% As Needed, 60% Full Time, 7% Part Time, 1% Temporary, and 23% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.
Addiction Medicine Provider & Community Partnerships Lead-Locum

Addiction Medicine Provider & Community Partnerships Lead-Locum

Essen Medical Associates

Bronx, NY • On-site

$130/hr

Full-time

Posted 4 days ago

Job description

Overview

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state's most vulnerable and underserved residents.

Founded in 1999, we've grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women's health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We're looking for talented, motivated individuals to join our growing team. Whether you're a medical provider, administrator, or operations professional, there's a career here for you. Join us in making a real difference in the health of our community.

Job Summary

We are seeking a compassionate and experienced Addiction Medicine Medical Director to join our OASAS-certified outpatient treatment program. The ideal candidate will provide patient-centered, evidence-based care for individuals with substance use disorders, ensuring compliance with OASAS regulations and organizational policies.

In addition to direct patient care, this role will also include community outreach and business development initiatives to strengthen partnerships, expand referral networks, and promote clinic services within the community.

Responsibilities

Provide clinical leadership to the team, ensuring adherence to evidence-based practices and fostering a culture of continuous improvement and accountability.

Oversee program performance metrics, including patient outcomes, retention, and satisfaction, and implement strategies to improve quality of care, operational efficiency and growth of the program.

Evaluate, prescribe, monitor medication-assisted treatment (MAT) in accordance with OASAS guidelines.

Monitor patients for withdrawal symptoms, side effects, and medication adherence.

Develop individualized treatment plans in collaboration with counseling staff.

Maintain accurate and timely documentation in the Electronic Health Record (EHR) per OASAS and facility standards.

Collaborate with a multidisciplinary team

Provide patient education on substance use disorders, relapse prevention, and harm reduction strategies.

Ensure compliance with state, federal, and OASAS regulations, including all reporting requirements.

Participate in case conferences, quality assurance activities, and staff training.

Maintain current knowledge of addiction medicine best practices, emerging treatments, and regulatory updates.

Develop and maintain relationships with local organizations, hospitals, treatment centers, and community agencies to promote clinic services and generate patient referrals.

Engage in business development activities such as representing the clinic at community events, professional meetings, and outreach programs to increase visibility and strengthen referral pipelines.

Provider educational sessions

Qualifications

  • MD or DO with active New York State license.

    Board Certified in Addiction Medicine

    Minimum 2 years of experience in addiction medicine or related clinical setting preferred.

    Knowledge of OASAS regulations and familiarity with NYS substance use treatment systems.

    Strong communication, clinical assessment, crisis intervention, and networking/relationship-building skills.

    Commitment to patient-centered, stigma-free care.

    Bilingual a plus, Spanish preferred

    Work Environment

    Setting: Outpatient OASAS-certified clinic.

    Schedule: Monday to Friday 9am - 5pm.

    May require occasional travel between program sites, outreach events, or trainings.

The salary for:FT -  $250K/yearHourly- $130/hour - Max. 20 hours a week Equal Opportunity Employer

Essen Health care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.

Employment Type: FULL_TIME

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