Network Data Specialist II

The Elevance Health Companies, Inc.

Cincinnati (OH)

Hybrid

USD 55,000 - 75,000

Full time

4 days ago
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Benefits offered by this job

Hybrid work
Medical
Dental
Vision
401(k) match
Stock purchase plan
Life insurance
Paid time off

Job summary

Elevance Health seeks a Network Data Specialist II to maintain provider information across claims and databases, ensuring accuracy and timely updates. You will synchronize data across multiple systems, applying business rules and validating data for contracting, network management and credentialing.

The role supports a hybrid in-office schedule with flexible options, emphasizing collaboration and data integrity within a Fortune 25 health company.

Qualifications

  • HS diploma or equivalent with 3+ years of related experience.
  • Experience maintaining provider information across claims systems.
  • Ability to validate data and adhere to business and system requirements.

Responsibilities

  • Maintain accurate provider information on all claims and provider databases.
  • Synchronize data across multiple claims systems and apply business rules.
  • Validate data and ensure compliance with contracting, network management and credentialing.

Skills

Data management
Healthcare data
Data entry
Provider data
Customer service

Education

High School Diploma or equivalent

Job description

Network Data Specialist II

Anticipated End Date: 2026-10-12

Position Title: Network Data Specialist II

Job Description: Network Data Specialist II

Location: This role requires associates to be in-office 1-2 days, per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Network Data Specialist II is responsible for accurate, timely maintenance of critical provider information on all claims and provider databases.

How you will make an impact
  • Maintains critical provider information on all claims and provider databases.
  • Synchronizes data among multiple claims systems and application of business rules as they apply to each database.
  • Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
Minimum Requirements
  • Requires a H.S. diploma or equivalent and a minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
  • Previous customer service experience is a plus.
  • Previous data entry experience is a plus.
  • Previous experience working with Provider data preferred.
  • Previous experience working in a medical office, healthcare, or home health setting preferred.

Job Level: Non-Management

Non-Exempt

Workshift:

Job Family: PND > Data Mgmt

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs (unless covered by a collective bargaining agreement)
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k)+match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member‑facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.

Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

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