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Provider Data Specialist Jobs (NOW HIRING)

Solis Health Plans

Network Data Specialist I

Miami, FL · On-site

$22 - $24/hr

The Specialist partners closely with Provider Relations, Credentialing, and Claims teams to ensure provider data integrity and support monthly provider roster management and system synchronization ...

Contact Government Services, LLC

Data Specialist

Tampa, FL · On-site

$61K - $82K/yr

... Provide hands-on training to other Data Specialist as needed - Perform basic Relativity searching and global updates to mark and/or tag records as requested; to include confirming record counts in ...

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Provider Data Specialist information

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$28K

$72.9K

$88K

How much do provider data specialist jobs pay per year?

As of Jul 14, 2026, the average yearly pay for provider data specialist in the United States is $72,947.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,000.00 and $87,000.00 per year, depending on experience, location, and employer.

What is a Provider Data Specialist job?

A Provider Data Specialist is responsible for managing and maintaining healthcare provider information within a company's database or system. They ensure that provider records are accurate, up-to-date, and compliant with industry regulations. Their duties often include verifying provider credentials, updating network affiliations, and working with internal teams to resolve discrepancies. This role is essential for supporting healthcare operations, claims processing, and provider network management. Effective Provider Data Specialists must have strong attention to detail, organizational skills, and familiarity with healthcare systems and regulations.

What healthcare jobs pay over $100k per year?

Provider Data Specialists typically earn between $60,000 and $80,000 annually, but higher-paying healthcare roles such as healthcare administrators, medical directors, and specialized physicians often exceed $100,000 per year. Advanced certifications, extensive experience, and leadership positions can contribute to higher salaries in healthcare fields.

What are the typical daily responsibilities of a Provider Data Specialist?

Provider Data Specialists are responsible for entering, validating, and maintaining healthcare provider profiles within organization databases to ensure accurate and up-to-date information. This often involves processing provider applications, updating credentials, resolving data discrepancies, and responding to both internal and external inquiries regarding provider information. They frequently collaborate with provider relations teams, credentialing staff, and IT specialists to streamline onboarding and data integrity processes. Staying organized and detail-oriented throughout these tasks is essential, as their work directly impacts provider network accuracy and regulatory compliance.

What does a data specialist do?

A Provider Data Specialist manages and maintains healthcare provider information within databases, ensuring data accuracy and completeness. They often use data management tools, perform data entry, and verify information to support billing, credentialing, and reporting processes.

What are the key skills and qualifications needed to thrive in the Provider Data Specialist position, and why are they important?

To thrive as a Provider Data Specialist, you typically need strong data management skills, attention to detail, and familiarity with healthcare terminology, often supported by a relevant associate’s or bachelor’s degree. Experience with healthcare provider databases, data entry software, and systems like CAQH, Excel, or health plan management platforms is commonly required. Excellent organizational abilities, analytical thinking, and clear communication are valuable soft skills for excelling in this role. These skills and qualities are crucial to ensure the accuracy of provider records, regulatory compliance, and effective coordination between healthcare teams.

What does a provider data specialist do?

A provider data specialist manages and maintains accurate provider information within healthcare systems, ensuring data quality and compliance. They often use database management tools and verify data accuracy to support billing, credentialing, and reporting processes.

What jobs make $1,000,000 a year?

In the context of a Provider Data Specialist, earning $1,000,000 annually is uncommon and typically associated with high-level executive roles, successful entrepreneurs, or specialized professionals in finance, technology, or healthcare. Such income levels often require advanced skills, extensive experience, and sometimes ownership or equity in a business. Most roles in data management or healthcare data analysis do not reach this income threshold without additional responsibilities or business ventures.
More about Provider Data Specialist jobs
What cities are hiring for Provider Data Specialist jobs? Cities with the most Provider Data Specialist job openings:
What are the most commonly searched types of Provider Data Specialist jobs? The most popular types of Provider Data Specialist jobs are:
What states have the most Provider Data Specialist jobs? States with the most job openings for Provider Data Specialist jobs include:
What job categories do people searching Provider Data Specialist jobs look for? The top searched job categories for Provider Data Specialist jobs are:
Provider Data Specialist jobs near you
Infographic showing various Provider Data Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, and 3% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $72,947 per year, or $35.1 per hour.
Network Data Specialist

Network Data Specialist

FLORIDA DOCTORS GROUP CORP

Coral Gables, FL • On-site

$19 - $22/hr

Full-time

Posted 18 days ago

Job description

Join Our Growing Healthcare Team!
Are you a highly organized, detail-oriented professional who enjoys working with data, healthcare operations, and provider relations? Florida Doctors Group is looking for a Network Data Specialist to join our growing team.
In this role, you will play a critical part in maintaining the integrity of our provider network by supporting credentialing, provider data management, contracting, and health plan enrollment activities. You'll work closely with insurance companies, healthcare providers, and internal departments to ensure our providers remain compliant, accurately represented, and ready to serve our members.
This is an excellent opportunity for someone who enjoys problem-solving, managing multiple projects, and contributing to a fast-paced healthcare organization that values teamwork, accuracy, and professional growth.
What You'll Do
As a Network Data Specialist, you will:
  •  Coordinate provider and facility credentialing with multiple commercial and government health plans. 
  •  Complete and submit provider and facility credentialing and contracting applications. 
  •  Perform primary source verification of provider credentials, including: 
    •  State Licenses 
    •  DEA Registrations 
    •  Board Certifications 
    •  Malpractice Insurance 
    •  Professional Liability History 
    •  Sanction Monitoring 
    •  Education and Training Verification 
  •  Maintain accurate provider demographic, credentialing, and contracting information across internal databases and health plan portals. 
  •  Monitor license, certification, DEA, malpractice, and other credential expiration dates to ensure continuous compliance. 
  •  Update provider records and practice information with health plans and regulatory agencies. 
  •  Audit provider directories to ensure information remains current and accurate. 
  •  Research and resolve provider data discrepancies with insurance companies and internal departments. 
  •  Collaborate with Provider Relations, Contracting, Quality, Billing, and Operations teams to resolve provider issues. 
  •  Assist with provider onboarding and network maintenance initiatives. 
  •  Maintain accurate documentation and tracking throughout the credentialing lifecycle. 
  •  Participate in special projects and other duties as assigned. 
What We're Looking For
The ideal candidate possesses:
  •  Strong attention to detail and exceptional organizational skills. 
  •  Ability to prioritize multiple projects while meeting deadlines. 
  •  Strong analytical and problem-solving abilities. 
  •  Excellent verbal and written communication skills. 
  •  Ability to work independently while collaborating effectively with multiple departments. 
  •  Professionalism when communicating with physicians, office managers, insurance representatives, and leadership. 
  •  Proficiency with Microsoft Office (Excel, Outlook, Word, Teams). 
  •  Experience working with online health plan portals and provider databases is preferred. 
  •  Knowledge of CAQH, NPPES, PECOS, and provider enrollment systems is a plus. 
  •  Understanding of healthcare credentialing, provider enrollment, contracting, or provider data management is preferred. 
Preferred Qualifications
  •  1-3 years of experience in healthcare administration, provider credentialing, provider enrollment, medical office administration, health plan operations, or provider data management. 
  •  Experience working with Medicare Advantage, Medicaid, Commercial, or Marketplace health plans is highly desirable. 
  •  Associate's or Bachelor's degree preferred, but equivalent experience will also be considered. 
Why Join Florida Doctors Group?
At Florida Doctors Group, you'll become part of a collaborative organization dedicated to supporting physicians and improving healthcare delivery throughout Florida. We invest in our employees by providing opportunities for professional growth, continuous learning, and career advancement while fostering a supportive and team-oriented work environment.
If you're looking for a career where your work directly impacts healthcare providers and the patients they serve, we'd love to hear from you.