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Provider Data Management Jobs in Florida (NOW HIRING)

UAB

DATA MANAGEMENT SPECIALIST-OSP

Tampa, FL

$50K - $81K/yr

DATA MANAGEMENT SPECIALIST-OSP The University of Alabama at Birmingham General Responsibilities ... providing a correct detailed budget allocation for processing. Key Duties & Responsibilities: 1. ...

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Provider Data Management information

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$23.2K

$72.6K

$128.5K

How much do provider data management jobs pay per year?

As of Aug 7, 2026, the average yearly pay for provider data management in Florida is $72,595.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,300.00 and $93,800.00 per year, depending on experience, location, and employer.

What is provider data management?

A Provider Data Management job involves maintaining and updating healthcare provider information in databases to ensure accuracy for insurance companies, health systems, or third-party administrators. Responsibilities include verifying provider credentials, processing updates, and ensuring compliance with regulatory standards. This role helps prevent claim issues, improves provider directory accuracy, and supports efficient healthcare operations. Strong attention to detail, problem-solving skills, and knowledge of healthcare data systems are essential for success in this field.

What are the typical responsibilities of someone working in provider data management?

In a Provider Data Management role, you'll primarily be responsible for maintaining accurate and up-to-date records of healthcare providers, including verifying credentials, onboarding new providers, and managing updates or terminations. You may work closely with credentialing teams, compliance officers, and IT professionals to ensure data aligns with regulatory standards and operational needs. Regular tasks often include data entry, auditing information for accuracy, troubleshooting discrepancies, and communicating with providers to gather or verify important data. This role is integral to supporting healthcare operations, insurance claims, and ensuring that patients have access to approved providers.

What are the key skills and qualifications needed to thrive in provider data management, and why are they important?

To thrive in Provider Data Management, you need strong analytical skills, attention to detail, and experience with health care data systems, often supported by a degree in health information management or a related field. Familiarity with provider databases, credentialing software, and industry standards such as HIPAA compliance is typically required. Excellent organizational skills, problem-solving ability, and effective communication help you excel when coordinating with various internal teams and external providers. These competencies ensure the accuracy and reliability of provider data, which is crucial for seamless healthcare operations and regulatory compliance.

What are popular job titles related to Provider Data Management jobs in Florida? For Provider Data Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Provider Data Management jobs in Florida look for? The top searched job categories for Provider Data Management jobs in Florida are:
What cities in Florida are hiring for Provider Data Management jobs? Cities in Florida with the most Provider Data Management job openings:
Provider Data Management jobs near you
Infographic showing various Provider Data Management job openings in Florida as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $72,595 per year, or $34.9 per hour.

Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC

Miami, FL • On-site

$60K - $70K/yr

Full-time

Medical

Re-posted 17 days ago

Job description

Description

Position Summary


The Configuration and Data Integrity Manager is responsible for implementing and interpreting the organization's overall claims, provider configuration, eligibility and provider database management, security, and operations. The Configuration Manager will work with internal departments and external organizations to assure secure data exchanges, integrity, reliability, and availability; plans, organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data.


Duties and Responsibilities


Responsible for benefit configuration covered services, copay, deductibles, coinsurance and max out of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of Benefit Packages

Responsible for provider records configuration and contract rate load create vendors, practice locations, medical group, networks, reimbursement rate. Collaborate with Provider Relations Department and Credentialing to ensure Responsible for work distribution and resource management of configuration specialist and data integrity specialist.

Configuration support to provider contracts-question if specific agreement received can be entered as noted.

Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases.

Responsible for accurately interpreting specific contracts as well as additional business requirements and converting these terms to configuration parameters.

Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules, network assignment, team member's responsibilities.

Collaborate with provider call center, clinical and claims department when asked to verify specific provider configuration or benefit configuration information.

Provide system configuration support to organization based on changing business needs.

Review and recommend changes to existing configuration processes.

Analyze and resolve Claims Workflow regarding Benefit & Contract configuration issues in a in with 3 business days.

Provide technical guidance to Data Integrity Specialist in their assigned job duties.

Oversee Configure Medicare/Medicaid/Commercial interest rates in TPA system.

Resolve Eligibility Issues with Health Plans.

Validate reports ran by Data Integrity Specialist on a weekly, monthly, and quarterly basis.

Load and Maintain Fee Schedule in TPA System

Act as liaison between Corporate and the health plan regarding programming development needs related to reporting.

Requirements

Knowledge


3-5 years of Claims Processing experience required.

1-2 years' experience in healthcare data management.

Broad knowledge of medical terminology, customer service, claims processing and/or customary and reasonable cost containment, and coordination of benefits and diagnosis coding.


Skills


Advanced knowledge of Microsoft applications: Outlook, access database, excel, word and basic computer navigation.

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