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Provider Data Remote Jobs in Georgia (NOW HIRING)

Contractor Location: Remote Job Overview We are seeking experienced Data Privacy Analysts to ... Provide clear and actionable feedback to improve data privacy and review quality. * Maintain ...

New

Remote Data QA

Atlanta, GA · Remote

$93K - $162K/yr

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $93,816 to $162,875. This range reflects the minimum and ...

New

... provider data across all systems. Location: Remote in Georgia; Occasional in office meetings in Marietta, GA. Schedule: Full time Monday- Friday 8:00AM - 5:00PM --- Key Responsibilities Payor ...

Remote Job Overview We are seeking experienced AI Consulting Domain Experts to contribute their ... data, interpret findings, and perform fact-checking to ensure high-quality content. * Provide ...

Remote Job Overview We are seeking experienced AI Data Science Domain Experts to contribute their ... Conduct rubric-based assessments of AI outputs and provide structured feedback. * Perform ...

Data Engineer - GCP

Atlanta, GA · On-site +1

$110K - $132K/yr

Provide technical guidance and best practices to the data engineering and business teams ... Flexible work environment and remote work options. Join us and be part of a team building ...

Remote Job Overview We are seeking experienced AI Data Science Domain Experts to contribute their ... Conduct rubric-based assessments of AI outputs and provide structured feedback. * Perform ...

We are the leading provider of innovative outdoor living products and utility infrastructure ... structured data -- this role is for you. Job Location This role will be remote, based in the US ...

New

Data Quality Engineer

Alpharetta, GA · Remote

$111K - $134K/yr

... Remote-OH, Remote-PA, Remote-RI, Remote-VA Details Kemper is one of the nation's leading ... This role provides technical leadership across data testing, validation, reconciliation, automation ...

F M Talent Source is an enterprise that provides business and workforce solutions to help ... Remote work permitted only under approved or contingency conditions Compensation Range: The salary ...

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Provider Data Remote information

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 the key skills and qualifications needed to thrive as a Provider Data Remote?

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.

What are some common challenges faced by Provider Data Remote, 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 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 are the most commonly searched types of Provider Data jobs in Georgia?

The most popular types of Provider Data jobs in Georgia are:

What cities in Georgia are hiring for Provider Data Remote jobs?

Cities in Georgia with the most Provider Data Remote job openings:

Senior Specialist, Issue Management

Atlanta, GA • Remote


Oscar Health
Insurance Services • 1 - 5K employees

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

261st of 313 rated insurance

Respectful managers

Uninterrupted breaks


$67K - $89K/yr

Full-time

PTO

Re-posted 4 days ago


Job description

Hi, we're Oscar. We're hiring a Senior Specialist, Issue Management to join our Network Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

The Senior Specialist, Issue Management supports the design, optimization, and implementation of processes and improvements to provider operations in support of achieving organizational goals. The Senior Specialist is responsible for day to day oversight of our most critical bottlenecks in Operations being resolved. The lead will implement lean, repeatable and scalable tools and techniques and independently represent the team within the broader organization.

You will report into the Senior Manager, Provider Data Operations

Work Location: This is a remote position, open to candidates who reside in: Atlanta, Georgia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $67,813 - $89,004 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • With support from leadership, help identify risks; respond to and resolve issues/errors/escalations through investigation to inform insights for short/medium/long-term technology-enabled processes and solutions
  • Coordinate projects and processes to help ensure key milestones and service levels are met
  • Partner with leadership to strategize, implement, and manage arrangements aimed at lowering overall cost or improving outcomes
  • Partner with cross-functional teams to ensure action plans align with continuous improvement goals, and participate in collaboration with peers and cross-functional stakeholders
  • Support the management, stewardship, and analysis of data to support compliant and performant business operations
  • Provide recommendations that ensure financial discipline and quality
  • Support identifying and implementing process improvement initiatives, as well as mindset shifts, to optimize operational efficiency and achieve performance targets
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 1+ years of professional experience in payer or provider operations, provider network management, healthcare operations, or a related field
  • 1+ years of experience using data and metrics to drive improvements
  • 1+ years of experience in process improvement and workflow design
  • 1+ years of experience in developing and presenting information and recommendations aimed at Senior Leadership

Bonus points:

  • ACA marketplace, provider network, claims, healthcare quality, or provider data experience
  • Management consulting experience
  • Training or experience applying Continuous Process Improvement or Lean Six Sigma principles
  • Experience with project coordination or management in a matrixed organization
  • Experience supporting RFP development and implementation of software or service solutions


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