Data Integrity & Credentialing Specialist

Socket.dev; Oregon (WI); On-site; USD 52,000 - 76,000; Full time

Job summary

AllCare Health is seeking a Data Integrity Specialist for the Provider Services department in Grants Pass, Oregon. The role focuses on validating provider data across portal, directory, DSN, and reporting systems, supporting DSN, VBP and network adequacy inputs, and ensuring accurate data intake and validation for health care providers and facilities.

Qualifications include high school diploma or GED, 1–2 years in healthcare/insurance, NAMSS CPCS/CPMSM certification (or pursuing), and strong

Qualifications

• High school diploma or GED required.
• One to two years related experience in Healthcare or Insurance.
• NAMSS CPCS and CPMSM certification or actively pursuing it is preferred.
• Bilingual abilities (ASL or other languages) are valued.

Responsibilities

• Validate provider data in portal, directory, DSN, and reporting systems.
• Assist in QA, reconciliation, and data integrity across systems.
• Own front-end provider data intake and validation for providers and facilities.
• Coordinate with Provider Engagement, Credentialing, Contracting and other departments.

Skills

Bilingual

Attention to detail

Data analysis

Time management

Education

High school diploma or GED

Tools

Microsoft Office

Relias LMS

Job description

AllCare Health is seeking a Data Integrity Specialist for the Provider Services department in Grants Pass, Oregon. The role focuses on validating provider data across portal, directory, DSN, and reporting systems, supporting DSN, VBP and network adequacy inputs, and ensuring accurate data intake and validation for health care providers and facilities.

Qualifications include high school diploma or GED, 1–2 years in healthcare/insurance, NAMSS CPCS/CPMSM certification (or pursuing), and strong