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Remote Provider Data Specialist Jobs in Raleigh, NC

Audit incoming vendor-provided data and assets to ensure strict compliance with internal ... This position isHybrid (4days in office,1day remote),based at our corporate headquarters inRaleigh ...

Audit incoming vendor-provided data and assets to ensure strict compliance with internal ... This position isHybrid (4days in office,1day remote),based at our corporate headquarters inRaleigh ...

... provide ongoing feedback and identification of the education needs for the providers and staff ... Monitor data quality and optimal reimbursement to the hospital by performing retrospective quality ...

... provide ongoing feedback and identification of the education needs for the providers and staff ... Monitor data quality and optimal reimbursement to the hospital by performing retrospective quality ...

... provide ongoing feedback and identification of the education needs for the providers and staff ... Monitor data quality and optimal reimbursement to the hospital by performing retrospective quality ...

Data Engineer

Raleigh, NC · On-site +1

$111K - $133K/yr

This opportunity is remote with the ideal candidate being located in DFW, Phoenix, Atlanta or ... Provide guidance and support to junior team members, analysts, or business users as needed.

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Remote Provider Data Specialist information

See Raleigh, NC salary details

$27.2K

$70.9K

$85.5K

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

As of Aug 22, 2026, the average yearly pay for remote provider data specialist in Raleigh, NC is $70,910.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,500.00 and $84,600.00 per year, depending on experience, location, and employer.

What is a remote provider data specialist?

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.

What skills and qualifications are needed to be a remote provider data specialist?

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.

How does a remote provider data specialist 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.

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 popular job titles related to Remote Provider Data Specialist jobs in Raleigh, NC?

For Remote Provider Data Specialist jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Provider Data Specialist jobs in Raleigh, NC look for?

The top searched job categories for Remote Provider Data Specialist jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Provider Data Specialist jobs?

Cities near Raleigh, NC with the most Remote Provider Data Specialist job openings:

Infographic showing various Remote Provider Data Specialist job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $70,910 per year, or $34.1 per hour.

Provider Enrollment Specialist (Full Time, Remote, North Carolina Based)

Alliance

Morrisville, NC • On-site, Remote

$23.36 - $29.78/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago


Job description

The Provider Enrollment Specialist ensures that all providers in the Alliance Health Network are enrolled in NCTracks with an active Medicaid Health Plan and a valid taxonomy for the service requested; reviews Provider Action Database to identify any providers for exclusion from the network. Specialists will only approve applications for services identified as a network need and/or services mandated by compliance with Parity.
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties
Review, Respond, and Process all Provider Application Requests and Notice of Change Requests
  • Monitor and respond to provider inquiries received via the Enrollment email Inbox and phone queue

  • Review NC Tracks to confirm the following:
    • NPI enrollment
    • Site enrollment
    • Approved Taxonomy for service requested
    • Valid Health Plan enrollment

  • Review Alliance Health Provider Action Database for provider exclusions
  • Notify Contracts of approved additions and/or needed changes to contract
  • Complete written notice to providers regarding enrollment and contracting decisions per procedures
  • Meet all identified turn around times for provider enrollment responses
  • Verify that all NC Tracks information is reflected accurately in the ACS system based on the Provider Enrollment file
  • Ensure that all departments that are affected by any enrollment changes are notified timely and according to policy and procedure

Track Provider Applications Requests and Notices of Change
  • Track all provider requests and outcomes per department procedure

Minimum Requirements
Education & Experience
Required:
High school diploma/GED and six (6) years of experience in an administrative support role in healthcare
Or
Bachelor's degree from an accredited College or University and two (2) years of experience in an administrative support role in healthcare.
Preferred:
Behavioral Health experience preferred
Experience with NCTracks preferred.
Two years experience in provider enrollment preferred.
Knowledge, Skills, & Abilities
  • Knowledge of the organization and it's functions
  • Knowledge of NCTracks system
  • Knowledge of computerized record-keeping techniques
  • Knowledge of and experience with records, reports and file maintenance.
  • Proficient with Microsoft Office suite
  • Proficient with grammar, spelling, punctuation and vocabulary
  • Skilled at organizing work to meet schedules and timelines
  • Ability to communicate effectively both in oral and written form
  • Ability to understand and follow oral and written directions
  • Ability to exercise tact and discretion in working with confidential or sensitive information
  • Ability to work independently with little direction
  • Ability to establish and maintain effective working relationships with others
  • Ability to analyze situations accurately and adopt an effective course of action

Salary Range
$23.36 - $29.78/ Hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity
An excellent fringe benefit package accompanies the salary, which includes:
  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.