Provider Data Management Specialist - Military veterans preferred

Genex Service LLC


Provider Data Management Specialist

US--Remote

Job ID: 25-18277
Type: Regular Full-Time
# of Openings: 1
Category: Product & Program Management
Mitchell International, Inc.

Overview

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

The Provider Data Specialist maintains and ensures accuracy of provider network data for delegated group providers. This role is critical in supporting proper claims processing, provider reimbursement, and member access to accurate provider directory information. The position requires strong analytical skills, attention to detail, and proficiency in Excel data manipulation.

As a Provider Data Specialist, you will be responsible for maintaining provider data integrity within our systems. You will:

• Process and validate provider data submissions received in Excel format, ensuring accurate system integration
• Review system updates and error messages post-automation to verify data accuracy
• Perform manual corrections and updates when automated processes cannot resolve data integrity issues
• Manipulate Excel data files to ensure proper formatting for system compatibility
• Validate incoming provider data against existing system information
• Maintain data that drives claim pricing and referrals
• Analyze contract priorities and relationships between provider groups and locations
• Make informed decisions about data management based on analytical findings

Education and Experience

• Bachelor's degree in healthcare administration, information management, or related field, or equivalent experience
• 2+ years of experience in healthcare data management or similar role required
• Experience working with provider data management systems preferred

Knowledge, Skills, and Abilities

• Understanding of healthcare provider networks and relationships
• Ability to understand contract hierarchies and their impact on provider data management
• Familiarity with medical terminology, degrees, specialties, and licensing requirements
• Analytical thinking skills with ability to recognize patterns and make data-driven decisions
• Attention to detail and commitment to data accuracy
• Problem-solving skills to address data integrity issues
• Strong proficiency in Excel, including advanced functions, data manipulation, and validation techniques
• Experience with healthcare information systems preferred

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