On-Site Provider Data & Credentialing Coordinator

Sante Health System, Inc; Fresno (CA); On-site; USD 46,000 - 66,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k retirement plan

Paid time off

advancement opportunities

Job summary

Santè Health System is seeking a Provider Data Coordinator in Fresno, CA to manage provider demographic data and support credentialing initiatives. This full-time role interfaces with health plans and internal staff to ensure data accuracy and regulatory compliance.

You will maintain the provider roster, generate reports, assist with data validation, and communicate updates to plans. A strong Excel and data analytics background is expected.

Qualifications

• High School diploma or GED required.
• 3 years' data analytics experience; healthcare setting preferred.
• Experience with clinic operations.
• Proficient in MS Excel and MS Office.
• Familiarity with managed care (HMO/Commercial/Medicare/Medicaid).
• Knowledge of database software is a plus.

Responsibilities

• Process and communicate provider demographic data with health plans and internal staff.
• Maintain provider database and demographic data for roster accuracy.
• Notify health plans of demographic changes via reports.
• Generate routine and ad hoc reports for staff.
• Assist health plans with quarterly data validation queries.
• Respond to inquiries about provider demographic data.
• Ensure optimal use of data systems and applications.
• Data mining, validation, and integrity of provider demographic data.
• Support provider credentialing initiatives including roster audits.
• Participate in health plan meetings as IPA representative.
• Contribute to cross-functional projects impacting Credentialing.
• Follow job-related instructions and perform other duties as requested.

Skills

Data analytics

Healthcare data

Education

High School diploma/GED

Tools

Microsoft Excel

MD Staff platform

Database software

Job description

Santè Health System is seeking a Provider Data Coordinator in Fresno, CA to manage provider demographic data and support credentialing initiatives. This full-time role interfaces with health plans and internal staff to ensure data accuracy and regulatory compliance.

You will maintain the provider roster, generate reports, assist with data validation, and communicate updates to plans. A strong Excel and data analytics background is expected.