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Provider Data Remote Jobs in Washington, DC (NOW HIRING)

GDIT

Provider Data Representative

Falls Church, VA · Remote

$46K - $62K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

No The Provider Data Representative maintains accurate provider demographic, participation ... Remote Work Location: USA VA Falls Church Additional Work Locations: Total Rewards at GDIT: Our ...

System One

Lead Data Scientist (Healthcare / ML)

Columbia, MD · Remote

$81/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - onsite and remote Responsibilities * Lead proliferation of machine learning and artificial ... Minimum of 8 years of experience working with provider data, including working with leadership on ...

System One

Lead Data Scientist (Healthcare / ML)

Columbia, MD · Remote

$81/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - onsite and remote Responsibilities * Lead proliferation of machine learning and artificial ... Minimum of 8 years of experience working with provider data, including working with leadership on ...

System One

Lead Data Scientist (Healthcare / ML)

Columbia, MD · Remote

$81/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - onsite and remote Responsibilities * Lead proliferation of machine learning and artificial ... Minimum of 8 years of experience working with provider data, including working with leadership on ...

System One

Lead Data Scientist (Healthcare / ML)

Columbia, MD · Remote

$81/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Hybrid - onsite and remote Responsibilities * Lead proliferation of machine learning and artificial ... Minimum of 8 years of experience working with provider data, including working with leadership on ...

GDIT

Provider Relations Account Manager

Falls Church, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Skills: Customer Service Management, Process Implementations, Provider Data Management (PDM ... The role reports to the Provider Network Lead and is fully remote. What You'll Be Doing: * Serve as ...

Elder Research

Data Scientist (Remote)

Arlington, VA · On-site +1

  • PTO

Provide consulting relating to the data mining and analysis of data from a range of sources to ... Washington DC Metro Area - Remote (candidates MUST BE located in the National Capital Region - DMV ...

Elder Research

Data Scientist (Remote)

Arlington, VA · On-site +1

  • PTO

Provide consulting relating to the data mining and analysis of data from a range of sources to ... Washington DC Metro Area - Remote (candidates MUST BE located in the National Capital Region - DMV ...

Cp Marine Llc

Data Analyst

Washington, DC · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Through its strategic focus, the RMU provides the framework for effective resource management ... Operate successfully on remote projects. * Other duties as required by the team and/or assigned by ...

Goldbelt, Inc.

Data Analyst

Washington, DC · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Through its strategic focus, the RMU provides the framework for effective resource management ... Operate successfully on remote projects. * Other duties as required by the team and/or assigned by ...

Maximus

Data Scientist II (Remote)

VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

General information Job Posting Title Data Scientist II (Remote) Date Tuesday, August 4, 2026 City ... Additionally, Maximus provides a variety of benefits to employees, including health insurance ...

YO AI Labs

AI Consulting Expert - Remote

Washington, DC · Remote

$100 - $200/hr

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 ...

ICF

Manager, Data Analytics - Remote

Reston, VA · Remote

Guide development of analytics products, dashboards, reports, and visualization tools that provide ... Ensure data sharing, API integration, and data access models are secure, governed, auditable, and ...

Serco USA

Data Analyst - (100% Remote)

Washington, DC · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Our team provides various types of support to the Navy Modernization Process. The mission of the ... The Data Analyst will play a vital role in engaging Senior Navy leaders, leveraging their ...

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All JobsProvider Data JobsProvider Data Remote JobsProvider Data Remote Jobs in Washington, DC

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 popular job titles related to Provider Data Remote jobs in Washington, DC?

For Provider Data Remote jobs in Washington, DC, the most frequently searched job titles are:

What job categories do people searching Provider Data Remote jobs in Washington, DC look for?

The top searched job categories for Provider Data Remote jobs in Washington, DC are:

Provider Data Remote jobs near you
Infographic showing various Provider Data Remote job openings in Washington, DC as of June 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution.

Provider Data Representative

GDIT

Falls Church, VA • Remote

$46K - $62K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

General Dynamics Information Technology rating

7.8

Company rating: 7.8 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

87th of 224 rated it services

Job description

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

MBI (T2)

Job Family:

Ancillary Health

Job Qualifications:

Skills:

Data Integrity, Data Quality, Document Revision, Operations Processes

Certifications:

None

Experience:

3 + years of related experience

US Citizenship Required:

No

Job Description:

The Provider Data Representative maintains accurate provider demographic, participation, credentialing, enrollment, roster, and directory information across all systems supporting the World Trade Center Health Program (WTCHP).

The role ensures provider data integrity to support accurate claims payment, credentialing compliance, provider directory accuracy, and network participation. The Representative partners with Provider Relations, Credentialing, Provider Data, Claims Operations, and Contracting to keep provider information complete, accurate, timely, and compliant with organizational standards.

Key Outcomes & Success Metrics

  • Directory accuracy & completeness: Meet internal standards and regulatory expectations; reduce member/provider complaints due to directory errors.
  • Maintenance timeliness: Process updates, additions, terminations, and changes within SLAs; reduce cycle time and backlog.
  • Data integrity: Improve audit scores; lower claimsimpacting data error rates; maintain accurate NPIs, TINs, specialties, practice locations, affiliations, licenses, and EFT details.
  • Roster reconciliation effectiveness: Validate rosters against credentialing, enrollment, terms & conditions, claims, and directory data; correct discrepancies promptly.
  • Credentialing & enrollment support: Ensure data readiness for onboarding and recredentialing; reduce participation activation delays.
  • Operational reporting: Provide clear dashboards and logs for productivity, turnaround times, accuracy, and issue remediation.

Essential Duties & Responsibilities

Data Intake & Maintenance Operations

  • Process provider roster submissions and updates.
  • Maintain accurate provider demographic, enrollment, and participation records.
  • Validate and update NPIs, TINs, specialties, practice locations, EFT details, and affiliations.
  • Ensure timely changes supporting accurate claims payment and directory publication.

Roster Reconciliation

  • Reconcile provider rosters against credentialing, claims, enrollment, and directory systems.
  • Identify discrepancies impacting participation, claims payment, or directory accuracy.
  • Coordinate corrections with Provider Relations, Credentialing, and Provider Data teams.

Credentialing & Enrollment Support

  • Validate provider demographic information for credentialing/recredentialing.
  • Identify and resolve enrollment and participation discrepancies.
  • Ensure data requirements are complete for onboarding and participation activation.

Data Quality & Governance

  • Audit provider records for completeness, accuracy, and compliance.
  • Monitor directory accuracy, quality scores, and claimsimpacting error rates.
  • Support development of data standards, QA programs, and process improvements.

Claims & Operational Support

  • Identify provider data issues affecting claims adjudication, reimbursement, and participation.
  • Collaborate with Claims Operations to resolve data discrepancies; support rootcause analysis and remediation.

Reporting & Analytics

  • Produce provider data quality reports, discrepancy logs, and audit results.
  • Track maintenance productivity, turnaround times, and accuracy metrics.
  • Provide insights to leadership to guide operational improvements.

Provider & Stakeholder Communication

  • Communicate data requirements and discrepancies to credentialing, enrollment, and provider relations teams.
  • Provide clear documentation for provider updates and requests.

Process Improvement & Tooling

  • Recommend system enhancements, automation opportunities, and updated workflows.
  • Support implementation of new processes, templates, and operational tools.
The likely salary range for this position is $46,325 - $62,675. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Remote

Work Location:

USA VA Falls Church

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identity Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About Our Work:

We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

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About General Dynamics Information Technology

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GDIT is a global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense, and intelligence community. Its 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. The company operates across 50+ countries worldwide, offering leading capabilities in digital modernization, AI/ML, cloud, cyber, and application development.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Falls Church, VA, US

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