Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
The Provider Data Services Specialist is responsible for conducting proactive outreach to provider offices to validate provider demographic information, network participation status, and directory information for providers contracted with Medicaid and Dual Special Needs Plans (D-SNP).
The Specialist will support provider directory accuracy initiatives by collecting and analyzing validation results to measure directory data quality, which will identify trends and root causes of inaccuracies.
Key Responsibilities
- Conduct outbound provider office outreach to validate directory demographic information, provider participation, and accessibility data.
- Accurately document outreach findings in QuickBase, Salesforce, and other designated systems.
- Support Medicaid and Dual provider directory monitoring and validation activities.
- Participate in special projects and ad hoc outreach initiatives related to provider data quality and directory validation.
- Maintain productivity, quality, and accuracy standards while managing a high volume of provider outreach activities.
Required Qualifications
- 1-2 years experience in healthcare administration
- Strong Oral communication skills
Preferred Qualifications
- Previous experience working with provider demographic data
- Previous experience working within QuickBase
- Previous experience in a call center environment
Education
- High school diploma or equivalent required
Anticipated Weekly Hours
- 40
Time Type
- Full time
Pay Range
- $17.00 - $31.30
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs