Drive the strategy, planning, and execution of the Provider Data Pipeline focused on productized interoperability layer supporting repeatable, scalable data ingestion and exchange. * Partner with ...
Drive the strategy, planning, and execution of the Provider Data Pipeline focused on productized interoperability layer supporting repeatable, scalable data ingestion and exchange. * Partner with ...
Head of Third Party Admin Service Provider Operations
Avenel, NJ · On-site
$200K - $280K/yr
Provider Data Management: * Direct the management of provider data, ensuring accuracy and timeliness of provider credentialing and demographic information. * Oversee the implementation of new ...
Head of Third Party Admin Service Provider Operations
Avenel, NJ · On-site
$200K - $280K/yr
Provider Data Management: * Direct the management of provider data, ensuring accuracy and timeliness of provider credentialing and demographic information. * Oversee the implementation of new ...
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 ...
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 ...
Verification of provider data and system release entered into the provider file database, ensuring a successful integration with the other corporate systems. * Prepares written responses to obtain ...
Verification of provider data and system release entered into the provider file database, ensuring a successful integration with the other corporate systems. * Prepares written responses to obtain ...
OR - Provider Support Specialist - Remote
Corvallis, OR · On-site +1
Provider Relations Referral Authorization Provider Data Maintenance Claims Processing KNOWLEDGE/SKILLS/ABILITIES Data entry accuracy. Organization and time management. Basic managed care concepts.
OR - Provider Support Specialist - Remote
Corvallis, OR · On-site +1
Provider Relations Referral Authorization Provider Data Maintenance Claims Processing KNOWLEDGE/SKILLS/ABILITIES Data entry accuracy. Organization and time management. Basic managed care concepts.
In addition to data entry, the specialist also maintains copies of licensure, certificates, and other documents necessary for the enrollment process, maintains provider CAQH profiles, and conducts ...
In addition to data entry, the specialist also maintains copies of licensure, certificates, and other documents necessary for the enrollment process, maintains provider CAQH profiles, and conducts ...
Provider Credentialing Rep
Phoenix, AZ · On-site
Education & Experience Required: • High School Diploma or GED • 2+ years of provider credentialing experience • 2+ years of experience working with credentialing applications and provider data ...
Provider Credentialing Rep
Phoenix, AZ · On-site
Education & Experience Required: • High School Diploma or GED • 2+ years of provider credentialing experience • 2+ years of experience working with credentialing applications and provider data ...
Provider Network Specialist (San Fernando Valley)
El Monte, CA · Hybrid
$70K - $80K/yr
The Provider Network Specialist plays a critical role in ensuring provider data accuracy, network access, compliance, and provider satisfaction while supporting membership growth and quality outcomes.
Provider Network Specialist (San Fernando Valley)
El Monte, CA · Hybrid
$70K - $80K/yr
The Provider Network Specialist plays a critical role in ensuring provider data accuracy, network access, compliance, and provider satisfaction while supporting membership growth and quality outcomes.
ETL Data Engineer
Columbia, MD · On-site
Must have previous provider data experience working with leadership on provider data issues, accuracy, and provider data interactions with claims and claims platforms. Knowledge of Salesforce and ...
ETL Data Engineer
Columbia, MD · On-site
Must have previous provider data experience working with leadership on provider data issues, accuracy, and provider data interactions with claims and claims platforms. Knowledge of Salesforce and ...
Provider Enrollment Agent
$30K - $43K/yr
The work directly supports smooth access to care by ensuring provider data is complete, accurate, and up to date. It is a detail-oriented, process-driven environment where consistency, accuracy, and ...
Provider Enrollment Agent
$30K - $43K/yr
The work directly supports smooth access to care by ensuring provider data is complete, accurate, and up to date. It is a detail-oriented, process-driven environment where consistency, accuracy, and ...
Provider Enrollment Specialist
Tempe, AZ · On-site
Frequently contacts practitioners, insurance representatives and other provider staff for compilation of provider data * Complies with NCQA, Medicare and Medicaid standards, department procedures and ...
Provider Enrollment Specialist
Tempe, AZ · On-site
Frequently contacts practitioners, insurance representatives and other provider staff for compilation of provider data * Complies with NCQA, Medicare and Medicaid standards, department procedures and ...
Scrum Master (Healthcare / Provider Management & Provider Enrolment)
Dallas, TX · On-site
$47.50 - $63.50/hr
Partner with Product Owners to define and prioritize backlogs related to Provider Enrolment and Provider Data Management. * Collaborate with business, operations, and technology stakeholders to ...
Scrum Master (Healthcare / Provider Management & Provider Enrolment)
Dallas, TX · On-site
$47.50 - $63.50/hr
Partner with Product Owners to define and prioritize backlogs related to Provider Enrolment and Provider Data Management. * Collaborate with business, operations, and technology stakeholders to ...
Frequently contacts practitioners, insurance representatives and other provider staff for compilation of provider data * Complies with NCQA, Medicare and Medicaid standards, department procedures and ...
Frequently contacts practitioners, insurance representatives and other provider staff for compilation of provider data * Complies with NCQA, Medicare and Medicaid standards, department procedures and ...
We are seeking a Provider Enrollment Specialist (Junior) to support administrative operations related to provider onboarding, data entry, and record maintenance. This role is responsible for ...
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We are seeking a Provider Enrollment Specialist (Junior) to support administrative operations related to provider onboarding, data entry, and record maintenance. This role is responsible for ...
Provider Partnership Assoc
Philadelphia, PA · On-site
Ensures the resolution to issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy. Maintains and updates the ...
Provider Partnership Assoc
Philadelphia, PA · On-site
Ensures the resolution to issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy. Maintains and updates the ...
Provider Partnership Assoc
Philadelphia, PA · On-site
Ensures the resolution to issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy. Maintains and updates the ...
Provider Partnership Assoc
Philadelphia, PA · On-site
Ensures the resolution to issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy. Maintains and updates the ...
... provider relations and medical management Analyze and summarize Provider data for comparative analysis using SAS, Power BI, Business Objects (BO), Tableau and Excel Adhere to documentation standards ...
... provider relations and medical management Analyze and summarize Provider data for comparative analysis using SAS, Power BI, Business Objects (BO), Tableau and Excel Adhere to documentation standards ...
Data Analyst - Healthcare (Referrals & Analytics)
Norfolk, VA · Remote
$45 - $55/hr
Manage and enhance referral and provider data feeds across multiple systems * Combine, cleanse, and validate data from sources such as Epic (EHR) and claims systems * Partner with IT and enterprise ...
Data Analyst - Healthcare (Referrals & Analytics)
Norfolk, VA · Remote
$45 - $55/hr
Manage and enhance referral and provider data feeds across multiple systems * Combine, cleanse, and validate data from sources such as Epic (EHR) and claims systems * Partner with IT and enterprise ...
Hands-on experience with healthcare payer data (Medicaid preferred), including claims, eligibility, and provider data * Solid knowledge of healthcare coding standards such as ICD, CPT, DRG, and NPI
Hands-on experience with healthcare payer data (Medicaid preferred), including claims, eligibility, and provider data * Solid knowledge of healthcare coding standards such as ICD, CPT, DRG, and NPI
Educate providers to ensure that they have the tools they need to meet quality, risk adjustment ... Conduct detailed analysis of various reports by tracking and trending data to develop a strategic ...
Educate providers to ensure that they have the tools they need to meet quality, risk adjustment ... Conduct detailed analysis of various reports by tracking and trending data to develop a strategic ...
Provider Data information
See salary details
$9.38 - $13.94
13% of jobs
$15.48 is the 25th percentile. Wages below this are outliers.
$13.94 - $18.51
37% of jobs
The median wage is $18.60 / hr.
$18.51 - $23.08
26% of jobs
$23.08 - $27.64
11% of jobs
$27.64 - $32.21
4% of jobs
$32.21 - $36.78
4% of jobs
$36.78 - $41.35
1% of jobs
$41.35 - $45.91
1% of jobs
$45.91 - $50.48
1% of jobs
$50.48 - $55.05
1% of jobs
$55.05 - $59.62
1% of jobs
$9
$23
$59
How much do provider data jobs pay per hour?
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 job?
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.
Job description
- Drive the strategy, planning, and execution of the Provider Data Pipeline focused on productized interoperability layer supporting repeatable, scalable data ingestion and exchange.
- Partner with Engineering, Data Architecture, InfoSec, and Data Operations to deliver reusable integration modules and standardized workflows.
- Manage the roadmap for enterprise data interoperability, including FHIR pipelines and modular transformation components.
- Develop solution and data journey maps defining standardized ingestion, normalization, and verification processes.
- Serve as SME on Provider Data Management with a focus on scalable directory and credentialing models.
- Lead discovery and validation cycles to ensure standardized, reusable integration patterns meet customer needs.
- Partner with Compliance to stay ahead of regulatory changes (CMS mandates, public health data-sharing requirements), translating mandates into development requirements before they become blockers rather than after.
- Lead FHIR adoption and communicate interoperability value across teams.
- Translate customer pain points and operational signals into platform-level investments, not one-off fixes. This role receives high volumes of feedback from multiple directions — you must be able to separate noise from signal
- Comfort working with offshore team members to ensure continuous development
- Create documentation around strategy, product offerings, and sales support as needed.
- 5-7 years Product Management experience in healthcare data platforms or interoperability.
- Ability to create standardized integration frameworks replacing custom connections.
- Deep familiarity with integrating with 3rd party provider data management systems like EHR, Credentialing Systems and FHIR endpoints.
- Experience defining canonical data models and reusable ingestion pipelines.
- Strong understanding of Provider Data Management.
- Skilled in translating interoperability concepts into requirements and narratives.
- Proven ability to synthesize customer insights and market drivers.
About RevSpring
Sourced by ZipRecruiter
Company size
501 - 1,000 Employees
Headquarters location
Nashville, TN, US
Year founded
1981