Provider Data Management Specialist - Remote

Overview

The Provider Data Management (PDM) Specialist will oversee and maintain accurate provider records within health plan systems, ensuring compliance with policies and regulations.

In Short

• Accurately enter, update, and maintain provider information in internal systems
• Validate provider credentialing data and contracts
• Ensure compliance with CMS, HIPAA, and regulations
• Conduct routine audits and reconciliations
• Manage daily activities and meet targets
• Work independently with minimal supervision
• Prioritize and complete job duties effectively
• Adapt to changes in department or business

Requirements

• Excellent written communication skills in English
• Strong analytical and organizational abilities
• Ability to prioritize tasks effectively
• Keen attention to detail and multitasking capability
• Strong customer focus and service orientation
• Proficiency in Microsoft Office Suite
• Typing speed of at least 40 words per minute
• Excellent internet connectivity and secure work environment

Benefits

• Confidential treatment of personal information
• Opportunity to work in a fast-paced environment
• Potential for incentives based on performance