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Provider Data Jobs (NOW HIRING)

Intellisoft Technologies

Data Architect - MDM

Intellisoft Technologies is seeking a Data Architect - MDM to design, implement, and advance enterprise Master Data Management architecture focused on provider and physician data. The role involves ...

OncoHealth

Sr Provider Relations Specialist

Performs data entry, maintenance, validation and reconciliation activities to support data integrity within Salesforce and other related systems, ensuring accurate provider information to support ...

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How much do provider data jobs pay per hour?

As of Sep 7, 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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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 86% Physical, 3% Hybrid, and 11% Remote job distribution, with an average salary of $49,426 per year, or $23.8 per hour.

Provider Data Analyst and Auditor

COMMUNITY HEALTH GROUP

Chula Vista, CA • On-site

$26.96 - $29.65/hr

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.

Key responsibilities

  • Develop operations procedures by gathering provider information through contract development, claims submission, surveys, or direct contact with network providers.

  • Maintain, produce, and distribute network provider directories, updating provider site listings and creating database queries for accurate information.

  • Review, monitor, and audit the department's daily Committee Finals to ensure accuracy and compliance.

Job description

POSITION SUMMARY
Provides advanced analytical techniques to ensure accurate contract information is applied for data entry into Symplr with correlation to QNXT system. Ensures companies maintain high standards and compliance with regulatory requirements by maintaining effective multi-departmental improvement databases, which integrates and coordinates results of all assessment/evaluation activities, problem identification and resolution activities. Responsible for accurate written and electronic provider directories. Responsible for providing support in the area of the Provider Directory compilation.
Responsible for reviewing, monitoring and auditing the department's daily Committee Finals.
COMPLIANCE WITH REGULATIONS
Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including DHCS, DMHC, CMS and/or Medicare Part D and Special Needs Plan (SNP).
RESPONSIBILITIES
  • Develop operations procedures by coordinating the gathering of provider information internally through contract development and claims submission, and externally through survey or by direct contact with network providers.
  • Determines contracts to be assigned to providers by reviewing contract language.
  • Maintains, produces and distributes network provider directories for all plan types by updating and maintaining provider site listings, creating database queries to produce accurate primary care site listings and hospital, specialty and ancillary referral panels.
  • Inform all affected departments of updated information by meetings with or by routing notices through inter-company mail and e-mail to appropriate staff in Operations Claims, Health Care Services, Financial Services and Information Systems Divisions.
  • Understand credentialing information (license types, provider types, & scope of practice) so data entry of QNXT will match provider's credentials and scope of practice.
  • Provides information as requested and contributes to the team effort by producing reports, labels and directories in a timely manner; maintaining established departmental policies and procedures, objectives, safety and environmental control standards; enhancing professional growth and development through participation in educational programs, current literature, in-service meetings and workshops; attending meetings as required and participating on committees as directed; working closely with Operations Claims and , Information Systems; and performing other related duties as assigned or requested.
  • Maintains product and company reputation and contributes to the team effort by conveying professional image and accomplishing related tasks.
  • Will need to provide backup support in the area of the Provider Directory compilation.
  • This position requires occasional travel within the San Diego County area.

  • Maintain the review, monitoring and auditing of the department's daily Committee Finals.

EDUCATION
  • Associate of Arts Degree or equivalent work experience

EXPERIENCE/SKILLS
  • 2 years' work experience or minimum education.
  • Ability to operate a personal computer, fax and copier.
  • Knowledge of Vistar and QNXT databases.
  • Proficient in word processing and database management applications.
  • Strong problem solving and analytical skills.
  • Thorough, accurate and detail oriented.
  • Ability to establish and maintain rapport with staff at all levels in problem resolution and development of reports and procedures.
PHYSICAL REQUIREMENTS
  • May be required to work evenings and/or weekends.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
All qualified applicants will receive consideration for employment based on merit, without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

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