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Provider Data Jobs (NOW HIRING)

Oscar Health

Director, Provider Operations

New York, NY · Hybrid

$163K - $215K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Oscar Health

Director, Provider Operations

Atlanta, GA · Remote

$147K - $193K/yr

The Director, Provider Operations builds, scales and optimizes Oscar's provider data management, contracting, and credentialing processes. This role is responsible for setting the vision and strategy ...

Integrated Resources INC

Data Specialist

Columbus, OH · On-site

Updating the system to make corrections on provider data. Will be using QNXT. Responsible for the timely and accurate entry of provider demographic, contract affiliation, and fee schedule information ...

Blue Cross of Idaho

Health Data Analyst I/II

Meridian, TX · On-site

$66K - $92K/yr

This position is responsible for analyzing provider data, identifying trends and discrepancies, supporting regulatory requirements, and delivering insights that improve provider data quality and ...

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How much do provider data jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for provider data in the United States is $23.76, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $25.00 per hour, depending on experience, location, and employer.

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 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.

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What are the most commonly searched types of Provider Data jobs?

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Provider Data jobs near you
Infographic showing various Provider Data job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $49,426 per year, or $23.8 per hour.

Ecommerce Provider Data and Compliance Specialist

HealthPartners

Bloomington, MN

Full-time

Posted 5 days ago

HealthPartners rating

7.6

Company rating: 7.6 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers

Job description

HealthPartners is hiring a Ecommerce Provider Data and Compliance Specialist. This role promotes and supports compliance related activities within our division and within the organization. THey support and coordinate resolution to operational issues, participate in conducting trainings, participate in work groups, and track and monitor regulatory activities. 

ACCOUNTABILITIES: 

  1. Understands and support HealthPartners Provider Electronic Commerce and Operations options to effectively promote compliance with regulatory areas.
  2. Understands and supports monitoring of regulatory activities as required by regulatory agencies such as CMS, DHS, NCQA, and MDH.
  3. Interact with other departmental staff on individual providers, clinic and facility terminations to ensure members are notified in a timely manner as specified by regulators. 
  4. Participates in the creation, review, revision, maintenance and tracking of internal and provider administrative policies and procedures.
  5. Coordinates provider communications as requested on behalf of Provider E-Commerce and Operations including tracking of required regulatory communications
  6. Assists with product and delivery network set-up in CPN, tracking and documentation upon request.
  7. Perform audits on CPN transactions using audit reports and completed provider or delivery network alerts.
  8. Assist in testing enhancements to the CPN application. 
  9. .Participates in the development and implementation of process improvements.
  10. Serves as a liaison with internal staff as needed.
  11. Supports other business staff in ongoing service needs.
  12. Participates in and assists with business continuity and disaster recovery plans, tests and revisions.

  13. Performs other duties as assigned.

REQUIRED QUALIFICATIONS: 

  • Four year degree in a related field (customer service, training, project management, business, or health care) or two years related work experience in lieu of degree.
  • Two years work experience in a related field (compliance, claims, electronic commerce, contracting, business or system analysis, customer service, training, project management, health care operations).
  • Intermediate Microsoft Excel skills.
  • Proven organizational skills.
  • Ability to work independently. 
  • Ability to multi-task in a fast paced environment.
  • Strong interpersonal skills.
  • Demonstrated analytical and problem solving skills.
  • Demonstrated ability to take responsibility for performance and attitude on the job.
  • Demonstrated ability to work collaboratively with others both inside and outside the organization.
  • Ability to work well with broad and different audiences. 


 

PREFERRED QUALIFICATIONS:

  • Training experience, preferably in managed care and/or health care operations.
  • Experience in working in a managed care organization or in a provider office.
  • Project coordination skills.

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