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Provider Data Remote Jobs in Philadelphia, PA (NOW HIRING)

Amerihealth Caritas

Sr Mgr IT

Newtown Square, PA · On-site +1

$125K - $125K/yr

Remote days are Monday & Friday Responsibilities * Lead the enterprise MDM & RDM strategy, roadmap, and execution for member and provider data domains * Architect and design MDM/RDM solutions ...

FSTONE Technologies

Data Entry Clerk - Remote

Doylestown, PA · Remote

$16.75 - $22.25/hr

FSTONE Technologies is seeking a detail-oriented and dependable Data Entry Clerk to join our remote ... We are committed to providing an inclusive, collaborative, and growth-oriented work environment ...

IQVIA

Senior Data Team Lead (Remote)

Philadelphia, PA · Remote

$86K - $217K/yr

Hiring multiple Senior Data Team Leads across our FSP (Functional Service Provider) and Traditional ... This is a remote/WFH position with all necessary equipment provided. What You'll Do * Lead data ...

TSMG

AI/ML Data Contributor

Philadelphia, PA · Remote

Participate in remote assignments or attend on-site sessions when required * Follow project ... Provide feedback and input during testing activities * Complete tasks within given timelines ...

TSMG

AI/ML Data Contributor

Philadelphia, PA · Remote

Participate in remote assignments or attend on-site sessions when required * Follow project ... Provide feedback and input during testing activities * Complete tasks within given timelines ...

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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, 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?

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 popular job titles related to Provider Data Remote jobs in Philadelphia, PA? For Provider Data Remote jobs in Philadelphia, PA, the most frequently searched job titles are:
What job categories do people searching Provider Data Remote jobs in Philadelphia, PA look for? The top searched job categories for Provider Data Remote jobs in Philadelphia, PA are:
What cities near Philadelphia, PA are hiring for Provider Data Remote jobs? Cities near Philadelphia, PA with the most Provider Data Remote job openings:
Provider Data Remote jobs near you
Infographic showing various Provider Data Remote job openings in Philadelphia, PA as of August 2026, with employment types broken down into 72% Full Time, 16% Part Time, 4% Temporary, and 8% Contract. Highlights an 12% In-person, and 88% Remote job distribution.

Senior Manager IT, Master Data Management

Amerihealth Caritas

Newtown Square, PA • On-site, Remote

Full-time

Medical, Retirement, PTO

Re-posted yesterday

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

127th of 304 rated insurance

Job description

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Role Overview

The Senior Manager IT, Master Data Management leads enterprise Master Data Management (MDM) and Reference Data Management (RDM) strategy, architecture, and delivery across the member and provider domains. This role modernizes legacy platforms and drives cloud migration to enable trusted, high-quality data that supports operational performance, regulatory compliance, analytics, and digital transformation. The role partners across business and technology teams to ensure scalable data solutions, effective governance, and measurable improvements in data quality.

Work Arrangement

  • The is a hybrid, office based position at our Ellis Preserve office in Newtown Square, PA.  Office days are Tuesday, Wednesday, and Thursday; Remote days are Monday & Friday

Responsibilities

  • Lead the enterprise MDM & RDM strategy, roadmap, and execution for member and provider data domains
  • Architect and design MDM/RDM solutions, ensuring alignment with enterprise data architecture, governance, and payer business needs
  • Manage and optimize MDM/RDM platforms using tools like Informatica MDM, Reltio, SAS, and related data quality and governance tools
  • Evaluate emerging technologies, tools, and best practices to continuously improve MDM/RDM capabilities
  • Manage vendor relationships, contracts, and tool assessments
  • Oversee cloud migration of MDM/RDM platforms, including planning, architecture, execution, and operational transition
  • Support enterprise initiatives such as digital transformation, analytics modernization, and interoperability programs
  • Drive Azure-based data engineering initiatives, including integration with Databricks, Azure Data Factory, Azure Data Lake, and Azure SQL
  • Define and implement data quality rules, stewardship workflows, and governance processes for member and provider data
  • Establish KPIs and metrics for data quality, platform performance, and operational efficiency
  • Partner with business stakeholders to understand domain-specific requirements and translate them into scalable data solutions
  • Lead cross-functional teams of architects, engineers, analysts, and data stewards
  • Ensure compliance with payer industry regulations (HIPAA, CMS, NCQA, interoperability standards)

Education and Experience

  • Bachelor’s Degree Computer Science, Information Systems, Data Management, Engineering, or related field. Master’s Degree preferred
  • At least ten (10) or more years of Data Management, Master Data Management (MDM), and Reference Data Management (RDM)
  • Previous experience in the healthcare domain; experience working for a Healthcare Payer preferred
  • Strong expertise in Member and Provider data domains within Payer or healthcare organizations
  • Hands-on experience with Informatica MDM, Reltio, and SAS data management tools
  • Proven experience designing and implementing MDM/RDM architectures in complex enterprise environments
  • Demonstrated success leading cloud migration of MDM/RDM platforms (preferably to Azure)
  • Strong experience with Azure cloud services, including Data Factory, Data Lake, Azure SQL, and related components
  • Proficiency in Databricks for data engineering, transformation, and integration
  • Deep understanding of payer data standards, healthcare interoperability, and regulatory requirements
  • Leadership experience managing technical teams and cross-functional stakeholders
     

Other Skills

  • Experience with Collibra Data governance features
  • Experience with API-driven MDM integration, microservices, and event-driven architecture
  • Knowledge of data governance frameworks (DAMA, DCAM)
  • Familiarity with Snowflake, Power BI, or other modern analytics platforms
  • Experience working in Agile delivery environments
  • Certifications in Azure, Informatica, Reltio, or data management disciplines
     

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

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