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Remote Provider Data Specialist Jobs (NOW HIRING)

ITC Federal, Inc

Senior Data Specialist

Fairfax, VA · Remote

Senior Data Specialist Location US- ID 2026-1554 Remote Yes Overview JOB TITLE: Senior Data ... Provides oversight functions for Data Specialists performing file manipulation, loading, conversion ...

UWHealth

Registry Oncology Data Specialist

Middleton, WI · On-site +1

$17.50 - $23.25/hr

Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in ... It is the policy of UW Health to provide equal opportunities to all qualified applicants without ...

ITC Federal, Inc.

Senior Data Specialist

Remote CLEARANCE: Public Trust - Candidates do not need to be cleared at the time of application ... Provides oversight functions for Data Specialists performing file manipulation, loading, conversion ...

UW Health

Registry Oncology Data Specialist

Middleton, WI · On-site +1

$17 - $22.75/hr

Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in ... It is the policy of UW Health to provide equal opportunities to all qualified applicants without ...

Dana-Farber Cancer Institute

This position's work location is fully remote with occasional time on-campus in [enter location ... We strive to create an inclusive, diverse, and equitable environment where we provide compassionate ...

Papco

Client & Contract Data Specialist

Minnetonka, MN · Remote

Remote (U.S.) About the role The Client & Contract Data Specialist with World Fuel plays a critical ... Review and analyze client invoices, enter detailed data into the CRM system, and provide Sales and ...

UW Health

Registry Oncology Data Specialist

Middleton, WI · On-site +1

$17.50 - $23.25/hr

Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in ... It is the policy of UW Health to provide equal opportunities to all qualified applicants without ...

Zotec Partners

Provider Enrollment Specialist

We're seeking a remote Provider Enrollment Specialist to join us. This is a remote position. What ... Ability to understand, analyze and interpret medical billing documentation and data * Proficient in ...

Guidehouse

Oncology Data Specialist - Certified (remote)

OR · Remote

$68K - $113K/yr

The remote Oncology Data Specialist will review clinical documentation as appropriate to extract ... Contact patient providers and state registries per the database to gather follow-up information and ...

SAIC

ServiceNow ABM Data Specialist

VA · Remote

Remote Work, VA, US Date Posted: 2026-05-27 Category: Information Technology Subcategory: Metrics ... Specifically, on the DCSA One IT program, SAIC will provide an enterprise IT solution that delivers ...

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Remote Provider Data Specialist information

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$28K

$72.9K

$88K

How much do remote provider data specialist jobs pay per year?

As of Jun 10, 2026, the average yearly pay for remote 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 are the key skills and qualifications needed to thrive as a Remote Provider Data Specialist, and why are they important?

To thrive as a Remote Provider Data Specialist, you need strong analytical skills, attention to detail, and experience with healthcare data management, often backed by an associate's or bachelor's degree in a related field. Familiarity with provider data management systems, Microsoft Excel, and knowledge of HIPAA regulations are typically required, and certifications such as Certified Provider Credentialing Specialist (CPCS) can be advantageous. Excellent communication, organizational skills, and the ability to work independently are crucial soft skills for this remote role. These competencies ensure the integrity and accuracy of provider data, support compliance, and enable efficient collaboration in a distributed work environment.

What is the difference between Remote Provider Data Specialist vs Remote Medical Records Coordinator?

AspectRemote Provider Data SpecialistRemote Medical Records Coordinator
CredentialsData management certifications, healthcare data knowledgeMedical records management certifications, HIPAA compliance
Work EnvironmentHealthcare data entry, database managementMedical record organization, patient data processing
Employer & IndustryHospitals, healthcare providers, insurance companiesClinics, hospitals, healthcare facilities
Search & Comparison IntentData accuracy, provider info managementPatient record organization, compliance

The Remote Provider Data Specialist primarily focuses on managing healthcare provider information and ensuring data accuracy within healthcare databases. In contrast, the Remote Medical Records Coordinator handles organizing and maintaining patient medical records, ensuring compliance with privacy regulations. Both roles require healthcare industry knowledge and data management skills, but they serve different functions within healthcare organizations.

What are Remote Provider Data Specialists?

Remote Provider Data Specialists are professionals who manage, update, and verify healthcare provider information for insurance companies, healthcare networks, or related organizations while working remotely. They ensure provider records are accurate, up-to-date, and compliant with industry regulations. Their tasks often include data entry, credentialing, auditing provider details, and communicating with providers to resolve discrepancies. This role is crucial for maintaining the integrity of provider directories, which helps patients access accurate information about healthcare professionals and services. Remote Provider Data Specialists typically use specialized software and must have strong attention to detail.

How does a Remote Provider Data Specialist typically collaborate with other teams to ensure data accuracy and compliance?

As a Remote Provider Data Specialist, collaboration is essential for maintaining accurate provider records and meeting compliance standards. You will frequently work with credentialing teams, IT departments, and provider relations staff to verify data, resolve discrepancies, and implement updates. Regular virtual meetings, shared databases, and ticketing systems are common tools that facilitate this cross-functional teamwork. Establishing clear communication channels and understanding each team's data requirements are key to successfully supporting organizational goals while working remotely.
More about Remote Provider Data Specialist jobs
What cities are hiring for Remote Provider Data Specialist jobs? Cities with the most Remote 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 Remote Provider Data Specialist jobs? States with the most job openings for Remote Provider Data Specialist jobs include:
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Remote Provider Data Specialist jobs near you
Infographic showing various Remote Provider Data Specialist job openings in the United States as of June 2026, with employment types broken down into 77% Full Time, 8% Part Time, and 15% Contract. Highlights an 100% Remote job distribution, with an average salary of $72,947 per year, or $35.1 per hour.
HSCSN Provider Data Specialist

HSCSN Provider Data Specialist

Health Services for Children with Special Needs (HSCSN)

Washington, DC • Remote

Other

Posted 26 days ago

Job description

The Provider Data Specialist is responsible for the management of the HSCSN Network provider data. This includes the capture and processing of provider demographic information related to the HSCSN Network Providers within health plan systems (i.e., credentialing, claims, utilization management, and care management systems), management of the online and published provider directories as well as the ongoing monitoring/ quality review process. The Provider Data Specialist employs an analytical approach for quality assurance, drives business requirements towards opportunities to automate, leads the audit process of provider network data, and ensures the timely upload of provider data relative to new HSCSN provider contracts as well as changes to existing provider contracts and panels. Minimum Education
High School Diploma or GED (Required)
Bachelor's Degree Business, Health Care Management, Health Care Administration, or Information Technology (Preferred)
Minimum Work Experience
3 years 1. A minimum of three (3) years prior experience working with managed care and/or health care setting. (Required)
1 year 2. Prior experience in working with provider and health plan data sets required.
3. Knowledge of claims, network development, provider network operations, provider relationship management, and provider demographic data sets and identifiers, required.
4. Knowledge of Medicaid and other State and Federal mechanisms, i.e., claims processing, UM programs, provider contract administration, NCQA, HEDIS, required.
5. Excellent public presentation, negotiation, stakeholder facilitation, time management, problem solving, analytical, organizational, written, and verbal skills are essential.
(Required)
1 year 6. General knowledge of legislative and government activities and marketplace issues affecting the region, preferred.
7. Experience with developing and implementing provider data quality processes, highly preferred.
8. Medium to high-level proficiency in Microsoft Word, Excel, Access, and Visio, required. SQL, high desirable
(Preferred)
Job Functions
  • 1. Manages the provider add/change process and ensures the timely update and entry of provider demographic data within core health plan systems (i.e., QNXT claims systems, Guiding Care utilization management and CM systems). Adheres to system requirements and standards as it relates to provider data completeness and accuracy. 2. Ensures the appropriate and accurate entry of provider data 3. Develops tracking reporting, and metrics for provider add/change information. 4. Supports regulatory reporting related to provider add/change activity. 5. Develops quality assurance process and conducts quality review. Develops plan for data corrections, where needed. 6. Analyzes provider data quality across Health Plan systems. Identifies gaps and/or data misalignment and makes the appropriate updates and corrections, as needed. 7. Develops and leads audit processes with the Provider Network Team and cross-functionally, as needed. 8. Supports provider /add change process as it relates to roster update process received from provider delegates. 9. Supports provider data strategies and initiatives as it relates to health plan system implementations and/or expanded system functionality. 10. Supports and manages the provider file and process as it relates to the online and published Provider Directories. 11. Works closely with the Provider Network Team and other Health Plan Teams to develop business requirements related to provider data management automation and/or reporting, as needed or required. 12. Ensures proper loading of provider demographic information to support the accurate, technical implementation of HSCSN Provider contracts. Other job duties1. May perform other duties in addition to those outlined in this job description.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Employee Excellence
  • Demonstrates understanding of quality of service and collaborates with co-workers to ensure excellence standard is achieved
  • Innovates through improvement of care and/or efficiency of operational processes.
  • Dedicated to a standard of performance excellence and high quality

All In
  • Embraces changes/improvements and actively participates in the implementation of new/improved programs, technology, new equipment, systems and resources that promote quality of care, safety and efficiency
  • Identifies, prioritizes and selects alternative solutions to determine best outcome

Action Oriented
  • Maintains a high level of activity/productivity, meeting deadlines and appropriately prioritizing tasks to meet business demands
  • Anticipates problems and attempts to solve before they develop
Supervisory Responsibilities
Blood Borne Pathogen Exposure
Protected Health Information Access Level
Working Environment
Physical Requirements
Travel Requirements

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