Network Data Specialist II

Elevance Health; Tampa (FL); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Elevance Health is seeking a Network Data Specialist II to ensure accurate, timely maintenance of provider information across claims and provider databases. This role supports data integrity and collaboration across teams to uphold contracting, network management and credentialing standards.

The position requires a HS diploma with at least 3 years of related experience, with healthcare data experience preferred and strong attention to detail in data handling.

Qualifications

• Requires a High School diploma or equivalent and a minimum of 3 years related experience.
• Experience maintaining provider information across claims systems and provider databases.

Responsibilities

• Maintains critical provider information on all claims and provider databases.
• Synchronizes data among multiple claims systems and applies 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.

Skills

Data entry

Provider data

Healthcare data management

Customer service

Education

High school diploma or equivalent

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.

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.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and 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 and financial education resources, to name a few.

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 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 (https://info.flclearinghouse.com/).