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Provider Data Jobs in Houston, TX (NOW HIRING)

paradigm

Provider Contract Manager

Houston, TX · On-site

$85K - $113K/yr

Maintain accurate and up-to-date provider data in organization's System. * Assist with the enforcement of departmental quality assurance processes and procedures. * Conduct regular reviews and audits ...

paradigm

Provider Contract Manager

Houston, TX · On-site

$85K - $113K/yr

Maintain accurate and up-to-date provider data in organization's System. * Assist with the enforcement of departmental quality assurance processes and procedures. * Conduct regular reviews and audits ...

Arsenault Inc

Data Analyst

Houston, TX · On-site

Provide clear requirements and development plans to the onsite and offshore teams * Build dashboards and visualizations to provide data access and insight to the business stakeholders * Define ...

Hcsc

Network Operations Coordinator II

Houston, TX

Building Relations With The Provider Community Is An Important Part Of This Role. Responsibilities Include Promoting High Quality Initiatives To Support Data Integrity. Accepting Ownership And ...

Parallon

Credentialing Verifier II

Houston, TX · On-site

Assure correct verifications are obtained based on specific provider's data and CPC policy and procedures, including but not limited to: state license(s), Federal and State DEA(s), board ...

NAVA Software Solutions

Sr. Data Analyst Snowflake

Houston, TX · On-site

$82K - $103K/yr

Senior Data Analyst -Snowflake Location: Houston TX - Onsite Duration: Full time /Direct Hire Job ... Act as a subject matter expert, providing guidance on the use of Snowflake for various analytical ...

Socket.dev

Lead Data Scientist

Houston, TX · On-site

$92 - $154/hr

Continuous improvement and Lean: provide data and insight for Lean and productivity initiatives, use simple problem solving tools and techniques and track the impact of changes over time. * ...

New

flowcontrol

Senior Data Analyst

Houston, TX · On-site

$82K - $103K/yr

FCG is seeking a Senior Data Analyst to help shape our data and analytics program by providing data analysis of source systems, defining data transformation rules for data warehouse development ...

Microvast

BMS Data Analysis Engineer

Houston, TX · On-site

$109K - $131K/yr

... Provide data-driven recommendations to optimize test plans, test coverage, and acceptance criteria. • Document findings, methodology, and tools in a structured and reproducible way. • Work with ...

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Provider Data information

What are some typical day-to-day tasks in a provider data role?

In a Provider Data role, your daily tasks often include entering new provider information, updating existing records, checking data accuracy, and ensuring compliance with organizational and regulatory standards. You may also communicate regularly with healthcare providers, insurance companies, and internal teams to confirm credentials or resolve discrepancies. Collaboration with IT, credentialing, and claims departments is common, helping to maintain data integrity across the organization. This role requires a strong process-oriented focus and a proactive approach to troubleshooting and quality assurance.

What are the key skills and qualifications needed to thrive in the provider data position, and why are they important?

To thrive as a Provider Data professional, you need strong analytical skills, attention to detail, and a solid understanding of healthcare provider networks, often backed by a bachelor's degree in a related field. Familiarity with provider data management systems, claims processing software, and proficiency in Microsoft Excel or similar data tools are typically required. Strong communication skills, critical thinking, and the ability to work both independently and collaboratively will set you apart. These skills and qualities ensure provider records are maintained accurately and efficiently, supporting operational integrity and regulatory compliance within healthcare organizations.

What is a provider data?

A Provider Data job involves managing and maintaining healthcare provider information within an organization’s database. Responsibilities typically include verifying provider credentials, updating demographic details, and ensuring compliance with regulatory standards. This role is essential for accurate billing, claims processing, and network management. Strong attention to detail, data analysis skills, and knowledge of healthcare regulations are key for success in this position.

What are the most commonly searched types of Provider Data jobs in Houston, TX? The most popular types of Provider Data jobs in Houston, TX are:
What are popular job titles related to Provider Data jobs in Houston, TX? For Provider Data jobs in Houston, TX, the most frequently searched job titles are:
What job categories do people searching Provider Data jobs in Houston, TX look for? The top searched job categories for Provider Data jobs in Houston, TX are:
What cities near Houston, TX are hiring for Provider Data jobs? Cities near Houston, TX with the most Provider Data job openings:
Provider Data jobs near you
Infographic showing various Provider Data job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.

Provider Data Integrity Analys

Texas Children's Hospital

Bellaire, TX • On-site

Full-time

Posted 7 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

79th of 1,055 rated hospitals

Job description

We are searching for a Provider Data Integrity Analyst -- someone who works well in a fast-paced setting. In this position, you will be responsible for the monthly audits and reconciliation of all Provider data within multiple systems within the Health Plan. To ensure that the Health Plan data is aligned with the States and that all Provider updates, including but not limited to adds, terms and changes are being made timely and accurately into our Core systems. Monitor the reporting of Provider data to support the Provider Relations teams, ensuring clean, accurate and timely data related to State regulations.

Think you've got what it takes

Job Duties & Responsibilities
    Data management and analytics
    Analyze reports and data sets for anomalies within the Provider data from multiple sources within the Health Plan
    Identify and update data discrepancies between the State requirements and the Health Plan's data
    Coordinate and collaborate with Vendors, Providers, and other departments within the Organization to ensure that all systems are reconciled
    Propose solutions to Business Partners for data integrity issues identified during your analysis
    Always maintain data standards in alignment with the State and other Regulatory requirements
    Manage data discrepancies and maintenance functions in an efficient, secure, timely manner with attention to all defined technical processes and use protocols
    Technical accuracy of provider data integrity
    Create and maintain policy and procedures for reconciliation and audit protocols of Provider data
    Develop and document Business rules to support an external audit of our Provider data
    Review updates from the State pertaining to Provider data to ensure that we remain Compliant.
    Drive system, and or process changes to certify that all State requirements are met
    Evaluate the Health Plan practices for performing this function and recommend any changes that are necessary to support data integrity
    Evaluate datasets for consistency, completeness, accuracy and reasonableness
    Support TCHP Provider Data Integrity initiatives
    Generate data reports on periodic basis as requested or needed for the data management process
    Identify and correct data deficiencies within the Health Plan Systems
    Collaborate with our Provider Directory Vendor, ensuring accurate and timely data
    Record and document as required data management activities, including but not limited to service forms, CRM's, and the Master Provider File
    Review and analyze the P files between the State and the Health Plan
    Recommend and implement process improvement identified as needed by the Health Plan to support the continued integrity of the Provider data
    Data integrity liaison between TCHP departments
    Address any issues, questions and problems in accurate and timely manner
    Self-solve issues if provider data integrity is in question
    Educate other departments on data use and Business rule


Skills & Requirements
    Required H.S. Diploma or GED and a preferred Bachelor's Degree
    4 years Combined managed care contracting, provider reimbursement and analysis, strategic planning and/or project management experience
 

Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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