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Provider Data Remote Jobs (NOW HIRING)

This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote ... Identifies trends in provider data issues and scale solutions by leveraging various analytics to ...

This is a Temporary remote full-time role at Claritev*** At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve ...

Data Quality Engineer

$117K - $140K/yr

Remote Job Type: Contract As an Data QA Lead you will be a part of an Agile team to build health ... Develop DQ rules and workflows for healthcare data sets (claims, eligibility, provider directories)

Define and track quality metrics and Key Performance Indicators to provide stakeholders with ... Ability to present and communicate through remote virtual tools such as Zoom and Slack. * Excellent ...

Description & Requirements Associate Analyst, Product & Data Remote | Mission-Driven Nonprofit ... We design human-centered programs, build innovative tools for providers, and drive community-wide ...

Senior Data Engineer Remote Work *Must be a US Citizen* & have a USA Passport Primary ... If you are offered this position, you will be required to provide extensive personal information to ...

Senior Data Engineer Remote

Prosper, TX · Remote

$97K - $131K/yr

... provide development for other roles you may be interested in. Required Qualifications: 7+ years of experience in data engineering, software engineering, or similar disciplines Hands-on experience ...

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Provider Data Remote information

What is the difference between Provider Data Remote vs Provider Data Specialist?

AspectProvider Data RemoteProvider Data Specialist
CredentialsTypically requires healthcare data management certifications or relevant experienceOften requires similar certifications, such as medical coding or data management credentials
Work EnvironmentRemote, often independent or team-based in healthcare organizationsPrimarily office or healthcare facility-based, but can include remote options
Industry UsageCommonly used in healthcare, insurance, and medical data management

Provider Data Remote and Provider Data Specialist roles share similar credentials and industry usage, focusing on healthcare data management. The main difference lies in the work setting, with Provider Data Remote working primarily remotely, offering flexibility, while Provider Data Specialist roles may be more office-based. Both roles are essential for maintaining accurate provider information in healthcare systems.

What does a Provider Data Remote do?

A Provider Data Remote is responsible for managing and maintaining healthcare provider information, such as credentials, contact details, and contract status, within a healthcare organization's database. This role is typically performed remotely and involves verifying data accuracy, updating records, and ensuring compliance with regulatory requirements. Provider Data Remotes collaborate with providers, insurance companies, and internal teams to resolve discrepancies and support network operations. Strong attention to detail, data management skills, and familiarity with healthcare terminology are essential for success in this position.

What are some common challenges faced by Provider Data Remote professionals, and how can they be managed?

Provider Data Remote professionals often encounter challenges such as managing large volumes of complex provider information, ensuring data accuracy, and keeping up with frequent updates from multiple sources. Working remotely can also mean collaborating with cross-functional teams in different locations, which requires strong communication and organizational skills. To manage these challenges, it's helpful to use standardized data management tools, establish clear communication protocols with team members, and stay updated on industry regulations related to provider data.

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

To thrive as a Provider Data Remote specialist, you need strong attention to detail, data entry proficiency, knowledge of healthcare terminology, and typically an associate's or bachelor's degree in a related field. Familiarity with provider data management systems, Microsoft Excel, and claims processing software is commonly required, along with experience using databases like Facets or CAQH. Excellent organizational skills, problem-solving abilities, and clear communication help you stand out in this role. These skills ensure the accuracy and integrity of provider data, supporting efficient healthcare operations and compliance.
More about Provider Data Remote jobs
What cities are hiring for Provider Data Remote jobs? Cities with the most Provider Data Remote job openings:
What are the most commonly searched types of Provider Data jobs? The most popular types of Provider Data jobs are:
What states have the most Provider Data Remote jobs? States with the most job openings for Provider Data Remote jobs include:
Infographic showing various Provider Data Remote job openings in the United States as of June 2026, with employment types broken down into 70% Full Time, 10% Part Time, 5% Temporary, and 15% Contract. Highlights an 100% Remote job distribution.
Provider Data Management

Provider Data Management

Gainwell Technologies LLC

Columbus, OH • On-site, Remote

Other

Medical, Retirement, PTO

Posted 7 days ago


Gainwell Technologies rating

7.7

Company rating: 7.7 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

110th of 191 rated software companies


Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Summary
The Provider+ Provider Data Management Product Owner is responsible for guiding the development, delivery, and evolution of Provider+ Provider Data Management capabilities with a strong focus on quality, updated data supporting enrollment, re-enrollment, revalidation, screening, FWA prevention, and accurate provider directories. This role supports both active production clients, clients in implementation, and opportunity pursuits ensuring that functionality meets regulatory requirements, operational realities, and contractual commitments while advancing the future-state vision of the platform.
Acting as the primary bridge between clients, operations, policy, and engineering teams, the Product Owner owns the end-to-end Provider+ Provider Data Management module product backlog and ensures accurate, compliant, and scalable system. The role emphasizes practical execution in live client environments while also shaping the longer-term modernization and evolution of the Provider+ platform.
Your role in our mission
Essential Job Functions
Product Strategy & Management
  • Own the product vision, roadmap, and backlog for Provider+ Provider Data Management module.
  • Translate complex business and regulatory requirements into actionable user stories and features with clear acceptance criteria.
  • Own and manage the product backlog, ensuring it reflects business value, stakeholder input, and technical feasibility.
  • Continuously groom the backlog based on changing needs, emerging priorities, and iterative feedback.
  • Develop and maintain Product Roadmaps aligned with other related and critical Product areas - working closely with Product Managers and other Product Owners.
  • Focusing and leading the future strategy and needs of the solution area this individual would be responsible for.

Cross-Functional Collaboration
  • Act as a liaison between internal/external development teams and Gainwell/client stakeholders to ensure shared understanding of priorities and goals.
  • Participate in Agile practices such as sprint planning, backlog refinement, reviews, and retrospectives to guide delivery and maximize team output.
  • Provide day-to-day directions to development/testing teams, answer questions, and clarify user stories as needed to unblock progress as well as participating in solutioning/designing of application alongside of technical leads.
  • Understand and be able test within the product(s) which includes executing processes, reviewing testing results, and approving development/testing work for final release.
  • Ensure the final product meets quality expectations, user needs, and compliance requirements specific to Medicaid programs.
  • Collaborating on sales activities and meeting client needs.

Provider Data Management Subject Matter Expertise
  • Ensure accurate implementation of Medicaid policy, CMS guidance, and state?specific rules for Provider Data Management.
  • Support defect triage and prioritization related to provider management issues impacting active clients.
  • Support and evolve provider data management integration between systems.
  • Partner with Provider+ engineering, operations, and technical teams to ensure alignment across modules and downstream systems.
  • Incorporate policy changes and operational needs into backlog prioritization and platform enhancements.
  • Participate in client discussions, demos, and working sessions to explain functionality, roadmap direction, and platform capabilities.
  • Collaborate with implementation teams to reduce customization, improve configurability, and accelerate onboarding of new clients.

What we're looking for
  • 5+ years of experience as a Product Owner, Business Analyst, or Product Manager, preferably in the Medicaid or broader public health sector
  • Provider data management knowledge
  • Solid understanding of Medicaid programs, policies, and business processes such as provider management, claims, encounters, and prior authorization.
  • Strong experience working within Agile/Scrum environments
  • Proficient in backlog management, requirements gathering, and stakeholder communication
  • Excellent organizational, presentation, analytical, and interpersonal skills

What you should expect in this role
  • Fully remote opportunity with the option to work anywhere within the United States
  • Opportunities to travel through your work (0-10%)
  • Willingness to work a flexible schedule to accommodate business needs and travel as required
  • Video cameras must be used during all interviews, as well as during the initial week of orientation

The deadline to submit applications for this posting is September 30, 2026
The pay range for this position is $95,100.00 - $135,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US