Provider Data Representative

Remotedxb; Dubai; On-site; AED 134,000 - 246,000; Full time

Benefits offered by this job

Medical, dental and vision plans

401(k) with company match

Paid leave including vacation, sick, &

Job summary

GDIT, a global technology and professional services company, is hiring for a provider data specialist focused on credentialing, enrollment and data quality. The role involves processing provider rosters, reconciling records, validating demographics, and auditing data for accuracy and compliance.

Collaboration with Claims Operations will remediate issues and improve data standards across systems. The ideal candidate will have an Associates degree, 3+ years in health plan operations, strong Excel

Qualifications

• Associates Degree required; Bachelor's degree preferred.
• 3+ years of experience in provider data, credentialing, enrollment, or health plan operations.
• Strong analytical skills with proficiency in Microsoft Excel; exceptional attention to detail and accuracy.

Responsibilities

• Process provider roster submissions and maintain accurate demographic, enrollment, and participation records.
• Reconcile provider rosters against credentialing, claims, and directory systems to identify discrepancies.
• Validate provider demographic information for credentialing and recredentialing processes.
• Audit provider records for completeness, accuracy, and compliance with data standards.
• Identify provider data issues affecting claims adjudication and collaborate with Claims Operations for remediation.
• Produce data quality reports, discrepancy logs, and productivity metrics for leadership.

Skills

Analytical skills

Attention to detail

Education

Associates degree

Bachelor's degree

Tools

Microsoft Excel

Job description

Responsibilities

• Process provider roster submissions and maintain accurate demographic, enrollment, and participation records
• Reconcile provider rosters against credentialing, claims, and directory systems to identify discrepancies
• Validate provider demographic information for credentialing and recredentialing processes
• Audit provider records for completeness, accuracy, and compliance with data standards
• Identify provider data issues affecting claims adjudication and collaborate with Claims Operations for remediation
• Produce data quality reports, discrepancy logs, and productivity metrics for leadership

Requirements

• Associates Degree
• 3+ years of experience in provider data, credentialing, enrollment, or health plan operations
• Strong analytical skills and proficiency in Microsoft Excel
• Exceptional attention to detail and accuracy

Preferred Qualifications

• Bachelor's degree
• 5+ years of relevant experience
• Experience supporting federal or government-sponsored healthcare programs
• Knowledge of provider directory regulatory requirements and healthcare data standards

Benefits

• Medical, dental, and vision plan options
• 401(k) plan with company match
• Paid leave including vacation, sick, and personal time
• Paid parental, military, and bereavement leave

About the Company

GDIT is a global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community.