Supervisory or management experience in a managed care environment * Experience with MD Staff, EPIC, provider data management software, SQL server * Working Environment & Physical Demands * Office ...
Supervisory or management experience in a managed care environment * Experience with MD Staff, EPIC, provider data management software, SQL server * Working Environment & Physical Demands * Office ...
Sr. Mgr. Provider Data - Kelsey Seybold - Pearland, TX.
Pearland, TX · On-site
$91K - $163K/yr
Supervisory or management experience in a managed care environment * Experience with MD Staff, EPIC, provider data management software, SQL server * Working Environment & Physical Demands * Office ...
Sr. Mgr. Provider Data - Kelsey Seybold - Pearland, TX.
Pearland, TX · On-site
$91K - $163K/yr
Supervisory or management experience in a managed care environment * Experience with MD Staff, EPIC, provider data management software, SQL server * Working Environment & Physical Demands * Office ...
Provider Data Representative
Manhattan, NY · On-site
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
Manhattan, NY · On-site
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Job Summary Job Summary Provides support for advanced provider data management (PDM) architect solutioning activities. Utilizes understanding of regulatory complexities, business challenges, and ...
Job Summary Job Summary Provides support for advanced provider data management (PDM) architect solutioning activities. Utilizes understanding of regulatory complexities, business challenges, and ...
Provides data management and data quality expertise in support of the design, management, and entry of the DOW records. Conducts data quality analysis, validation, and verification. Assists in ...
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Provides data management and data quality expertise in support of the design, management, and entry of the DOW records. Conducts data quality analysis, validation, and verification. Assists in ...
... provider data management (PDM) systems Knowledge of URAC and/or NCQA standards • VA and/or TRICARE program experience Key Responsibilities • Review, process, and maintain certification ...
... provider data management (PDM) systems Knowledge of URAC and/or NCQA standards • VA and/or TRICARE program experience Key Responsibilities • Review, process, and maintain certification ...
Provider Data Representative
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
Manhattan, NY · On-site
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
Manhattan, NY · On-site
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
Manhattan, NY · On-site
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
Manhattan, NY · On-site
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Provider Data Representative
$42K - $47K/yr
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding ... Add providers to the system as needed, coordinate application submissions, update and change ...
Data Management Specialist
$70K - $80K/yr
Providing Data Management (DM) to the VECTR IPT team. Setting up Azure DevOps as the data management tracking tool. Transferring documents and data to the Azure DevOps environment. Configuring ...
Data Management Specialist
$70K - $80K/yr
Providing Data Management (DM) to the VECTR IPT team. Setting up Azure DevOps as the data management tracking tool. Transferring documents and data to the Azure DevOps environment. Configuring ...
Provider Data Entry Specialist
$20 - $21/hr
Data Entry & Record Management * Accurately enter, update, and maintain member data, claims ... Provide in-person assistance to walk-in members when needed * Assist members, providers, brokers ...
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Provider Data Entry Specialist
$20 - $21/hr
Data Entry & Record Management * Accurately enter, update, and maintain member data, claims ... Provide in-person assistance to walk-in members when needed * Assist members, providers, brokers ...
Performs complex systems and data analysis to support business operations and technology initiatives, with a strong focus on provider data processes and solutions. Builds, implements, manages, and ...
Performs complex systems and data analysis to support business operations and technology initiatives, with a strong focus on provider data processes and solutions. Builds, implements, manages, and ...
The Provider Data Management department, within Network Management, maintains provider data integrity across all systems, supports network accuracy for claims and directories, and collaborates with ...
The Provider Data Management department, within Network Management, maintains provider data integrity across all systems, supports network accuracy for claims and directories, and collaborates with ...
Associate, Provider Data Analytics
Tempe, AZ · Hybrid
$87K - $114K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work ...
Associate, Provider Data Analytics
Tempe, AZ · Hybrid
$87K - $114K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This position is based in our Tempe, Arizona office, requiring a hybrid work schedule with 3 days of in-office work ...
... Provider Data Preferred: • Experience working in high volume data throughput environment with ... Regularly conduct 1:1 and team meetings to ensure communication and management of issues. • ...
... Provider Data Preferred: • Experience working in high volume data throughput environment with ... Regularly conduct 1:1 and team meetings to ensure communication and management of issues. • ...
Temporary Provider Data Analyst
Manhattan, NY · Remote
$20 - $27/hr
Temporary Provider Data Analyst ***This is a Temporary remote full-time role at Claritev*** At ... Complete special projects as assigned by management. This may include but is not limited to both ...
Temporary Provider Data Analyst
Manhattan, NY · Remote
$20 - $27/hr
Temporary Provider Data Analyst ***This is a Temporary remote full-time role at Claritev*** At ... Complete special projects as assigned by management. This may include but is not limited to both ...
Associate, Provider Data Analytics
New York, NY · Hybrid
$96K - $127K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work ...
Associate, Provider Data Analytics
New York, NY · Hybrid
$96K - $127K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work ...
Associate, Provider Data Analytics
New York, NY · Hybrid
$96K - $127K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work ...
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Associate, Provider Data Analytics
New York, NY · Hybrid
$96K - $127K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work ...
Associate, Provider Data Analytics
Dallas, TX · On-site
$87K - $114K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our ...
Associate, Provider Data Analytics
Dallas, TX · On-site
$87K - $114K/yr
You will report into the Senior Manager, Provider Data Operations. Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our ...
Provider Data Management information
See salary details
$31K - $43.8K
7% of jobs
$43.8K - $56.6K
8% of jobs
$65.3K is the 25th percentile. Wages below this are outliers.
$56.6K - $69.5K
14% of jobs
$69.5K - $82.3K
18% of jobs
The median wage is $84.6K / yr.
$82.3K - $95.1K
15% of jobs
$95.1K - $107.9K
7% of jobs
$117.5K is the 75th percentile. Wages above this are outliers.
$107.9K - $120.7K
7% of jobs
$120.7K - $133.5K
6% of jobs
$133.5K - $146.4K
6% of jobs
$146.4K - $159.2K
4% of jobs
$159.2K - $172K
6% of jobs
$31K
$97.1K
$172K
How much do provider data management jobs pay per year?
What is a Provider Data Management job?
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 the Provider Data Management position, 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.

$91K - $163K/yr
Full-time
Retirement
Posted 9 days ago
UnitedHealth Group rating
7.5
Based on 140 frontline employees who took The Breakroom Quiz
223rd of 872 rated healthcare providers
Job description
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40 locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
- The Sr. Manager of Provider Data Management oversees daily operations for provider data management across Kelsey-Seybold Clinic, KelseyCare Advantage, and PGT
- Responsibilities include maintaining a unified SQL-based provider data source supporting downstream systems such as claims, UM systems, and provider directories
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Extensive experience with SQL servers, Excel, Access, Microsoft Data Services
- Knowledge of CMS regulations and managed care payment methodologies
- Proficiency in Microsoft Office
- Excellent written and verbal communication skills
Preferred Qualifications:
- 10 years of health care or health plan experience
- Supervisory or management experience in a managed care environment
- Experience with MD Staff, EPIC, provider data management software, SQL server
- Working Environment & Physical Demands
- Office-based environment, minimal noise
- Regular computer use and extended sitting
- Occasional walking or bending; ability to lift up to 25 lbs.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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About UnitedHealth Group
Sourced by ZipRecruiter
Industry
Insurance services
Company size
10,000+ Employees
Headquarters location
Minnetonka, MN, US
Year founded
1977