Provider Data Management Specialist- Enrollment

Accurately enter, update, and maintain provider information in internal systems
Validate provider credentialing data, contracts, and demographic data to ensure accuracy
Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations
Conduct routine audits and reconciliations to maintain data integrity.
Review and load the required data into the health plan system as the process guidelines require
Manage and monitor daily activities and meet the set targets
Work independently and complete the tasks in established timeframe with minimal supervision
Must be able to prioritize and complete all job duty requirements
Must be able to adhere to changes based on department and/or business
Excellent written communication skills in English with strong clarity and accuracy
Strong reading and listening comprehension skills in English to effectively process the requests
Well-developed analytical, logical, and organizational abilities for problem-solving
Ability to prioritize tasks effectively, ensuring timely and accurate processing of intakes
Keen attention to detail with the capability to multitask in a fast-paced environment
Strong customer focus, with a passion for delivering exceptional service and support
Proficiency in Microsoft Office Suite and experience navigating web-based applications
Typing speed of at least 40 words per minute, with accuracy and efficiency
Excellent internet connectivity, Hard-Wired
Productive and secure work environment, distraction-free.

Employment type
Full-time

Work arrangement
Yes