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Provider Data Remote Jobs in Columbus, OH (NOW HIRING)

AmeriHealth Caritas

Coord Provider Network

Dublin, OH · Hybrid

... provider data, healthcare, managed care or insurance industry environment preferred. * Must be ... remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer ...

Amerihealth Caritas

Coordinator Provider Network

Dublin, OH · Hybrid

$18.50 - $25/hr

... provider data, healthcare, managed care or insurance industry environment preferred. * Must be ... remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer ...

Amerihealth Caritas

Coord Provider Network

Dublin, OH · Hybrid

... provider data, healthcare, managed care or insurance industry environment preferred. * Must be ... remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer ...

WPS Health Solutions

Data Analyst

Columbus, OH · On-site +1

We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... We process claims and provide customer support for beneficiaries of the Medicare program and manage ...

UMB Bank

AI Data Architect

Columbus, OH · On-site +1

$83.20K - $178.80K/yr

You will also provide strategic leadership in modernizing data ecosystems, enabling advanced ... However, the remote location must within the US. How you'll spend your time: * Define and implement ...

Daily Jobs

Data Entry Representative

Columbus, OH · Remote

$17 - $22/hr

Columbus, Ohio, United States Daily jobs Our company is committed to providing top-notch service to ... plan Remote work options Entry Level Positions Available Requirements: High school diploma or ...

AceStack LLC

GCP Data Engineer

Dublin, OH · Remote

$108.10K - $129.80K/yr

Dublin OH (Remote) Duration: 6 months Strong data engineering technical acumen to understand ... Be able to provide progress updates/risks/issues to stakeholders and leadership Experience ...

Cardinal Health

Data Analyst

Columbus, OH · Remote

Works with complex datasets to perform exploratory data analysis to provide insights to make ... REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private ...

Cardinal Health

Data Analyst

Dublin, OH · Remote

Works with complex datasets to perform exploratory data analysis to provide insights to make ... REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private ...

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Provider Data Remote information

What are the key skills and qualifications needed to thrive as a Provider Data Remote specialist, and why are they important?

To thrive as a Provider Data Remote specialist, you need strong attention to detail, data entry proficiency, knowledge of healthcare terminology, and typically an associate's or bachelor's degree in a related field. Familiarity with provider data management systems, Microsoft Excel, and claims processing software is commonly required, along with experience using databases like Facets or CAQH. Excellent organizational skills, problem-solving abilities, and clear communication help you stand out in this role. These skills ensure the accuracy and integrity of provider data, supporting efficient healthcare operations and compliance.

What are some common challenges faced by Provider Data Remote professionals, and how can they be managed?

Provider Data Remote professionals often encounter challenges such as managing large volumes of complex provider information, ensuring data accuracy, and keeping up with frequent updates from multiple sources. Working remotely can also mean collaborating with cross-functional teams in different locations, which requires strong communication and organizational skills. To manage these challenges, it's helpful to use standardized data management tools, establish clear communication protocols with team members, and stay updated on industry regulations related to provider data.

What does a Provider Data Remote do?

A Provider Data Remote is responsible for managing and maintaining healthcare provider information, such as credentials, contact details, and contract status, within a healthcare organization's database. This role is typically performed remotely and involves verifying data accuracy, updating records, and ensuring compliance with regulatory requirements. Provider Data Remotes collaborate with providers, insurance companies, and internal teams to resolve discrepancies and support network operations. Strong attention to detail, data management skills, and familiarity with healthcare terminology are essential for success in this position.

What is the difference between Provider Data Remote vs Provider Data Specialist?

AspectProvider Data RemoteProvider Data Specialist
CredentialsTypically requires healthcare data management certifications or relevant experienceOften requires similar certifications, such as medical coding or data management credentials
Work EnvironmentRemote, often independent or team-based in healthcare organizationsPrimarily office or healthcare facility-based, but can include remote options
Industry UsageCommonly used in healthcare, insurance, and medical data management

Provider Data Remote and Provider Data Specialist roles share similar credentials and industry usage, focusing on healthcare data management. The main difference lies in the work setting, with Provider Data Remote working primarily remotely, offering flexibility, while Provider Data Specialist roles may be more office-based. Both roles are essential for maintaining accurate provider information in healthcare systems.

What are popular job titles related to Provider Data Remote jobs in Columbus, OH? For Provider Data Remote jobs in Columbus, OH, the most frequently searched job titles are:
What job categories do people searching Provider Data Remote jobs in Columbus, OH look for? The top searched job categories for Provider Data Remote jobs in Columbus, OH are:
What cities near Columbus, OH are hiring for Provider Data Remote jobs? Cities near Columbus, OH with the most Provider Data Remote job openings:
Provider Data Remote jobs near you
Infographic showing various Provider Data Remote job openings in Columbus, OH as of May 2026, with employment types broken down into 78% Full Time, and 22% Part Time. Highlights an 100% Remote job distribution.
Temporary Operations Resolution Specialist MCHP - Provider Data Management remote

Temporary Operations Resolution Specialist MCHP - Provider Data Management remote

Trinity Health

Columbus, OH • On-site, Remote

Full-time

Posted 5 days ago

Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

594th of 864 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Description:
This is a temporary, full-time position with an expected duration of 3months
Why MediGold?
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We're dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
Position Purpose:
Provider Data Management role manages the integrity of the Health Plan's provider data to maintain compliance with Federal and local requirements. This position must have knowledge and competence in regulatory requirements for the Health Plan's provider data while maintaining confidentiality and use of discretionary discernment with sensitive materials. Serves as department subject matter expert requiring knowledge of plan systems, tools, policies and procedures and acts as liaison with internal and external customers. The role will conduct audits to ensure compliance with the Centers for Medicaid and Medicaid Services (CMS) requirements. Additionally, the role will be expected to produce accurate reports of the plan's provider data as required by CMS for HEDIS purposes. The ORS-Provider Data Management role will be responsible for identification of root causes regarding any discrepancies found in the provider data while working alongside all other Operations Resolution Specialists across the plan to fully resolve issues
What you will do:
  • Preparation of all initial direct and delegated credentialing rosters for automated Provider Data Load (PDL) process
  • Process rejection reports from PDL process and correct any errors discovered
  • Education of CIN, groups, etc. for future expansion regarding direct and delegated roster formats to ensure accurate PDL
  • Internal audit (monitoring) of Provider Data, such as demographic changes, TIN adds, provider terms, etc.

Minimum Qualifications:
  • Education: Associate or Bachelor's degree preferred.
  • Certification: N/A
  • Experience: One to three years experience preferred in either managed care health insurance.
  • Effective Communication Skills.
  • Strong written and verbal communication skills in order to communicate in clear, concise terms to internal and external customer.
  • Analytical and problem-solving skills.
  • Experience in use of computer systems and office automation applications.
  • Knowledgeable with provider credentialing and contracting terminology.
  • Basic knowledge of healthcare claims process.

Ministry/Facility Information:
Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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Benefits

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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