Provider Data & Directory Integrity Specialist

Accede Solutions Inc (accedesolution.com); United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Accede Solutions Inc in the United States seeks a Provider Data Specialist to ensure data integrity across credentialing, enrollment, and directory accuracy. You will collaborate with Provider Relations, Credentialing, and Claims Operations to keep provider information complete, timely, and compliant with standards.

You will maintain roster records, validate NPIs, TINs, specialties, and EFT details, and support onboarding and re-credentialing.

Qualifications

• Bachelor's degree preferred.
• 2–5 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.
• Experience with federal or government-sponsored programs preferred.
• Knowledge of provider directory regulatory requirements.

Responsibilities

• Maintain accurate provider demographic, enrollment, and participation records.
• Validate NPIs, TINs, specialties, and EFT details.
• Ensure data readiness for onboarding and re-credentialing.
• Reconcile rosters across credentialing, enrollment, and directory systems.
• Collaborate with Provider Relations, Credentialing, and Provider Data teams.
• Produce provider data quality reports and audit results.

Skills

Data governance

Analytical thinking

Microsoft Excel

Attention to detail

Education

Bachelor's degree

Tools

Enrollment systems

Provider data platforms

Job description

Accede Solutions Inc in the United States seeks a Provider Data Specialist to ensure data integrity across credentialing, enrollment, and directory accuracy. You will collaborate with Provider Relations, Credentialing, and Claims Operations to keep provider information complete, timely, and compliant with standards.

You will maintain roster records, validate NPIs, TINs, specialties, and EFT details, and support onboarding and re-credentialing.