Provider Data Integrity & Network Specialist

Health Partners Plans, Inc.; United States; On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Retirement plans

Tuition assistance

Voluntary benefits

Flexible spending accounts

Job summary

Health Partners Plans, Inc. is looking for a Provider Database Maintenance specialist to ensure accurate provider demographics for all participating and non-participating providers.

You will work under supervision to maintain data quality across the network database. Responsibilities include entering demographic data, assigning fee schedules, and updating contract information while validating changes against production reports and credentialing data.

Qualifications

• High School Diploma or GED required with strong data entry abilities.
• Experience handling provider data in health care or insurance settings preferred.
• Proficiency in Outlook, Excel, Word and basic database tools.

Responsibilities

• Enter and update provider demographic data in the network database.
• Assign fee schedules and pricing/contract information to providers.
• Validate updates against production reports and credentialing data.
• Maintain accurate records and collaborate with internal/external customers.
• Support credentialing, PDC, and finance data accuracy per SLAs.
• Identify data issues and participate in process improvement.

Skills

Database

Organizational skills

Written and verbal communication

Relational database experience

Teamwork

Education

High School Diploma/GED

Tools

Microsoft Outlook

Microsoft Excel

MS Word

Access

Job description

Health Partners Plans, Inc. is looking for a Provider Database Maintenance specialist to ensure accurate provider demographics for all participating and non-participating providers.

You will work under supervision to maintain data quality across the network database. Responsibilities include entering demographic data, assigning fee schedules, and updating contract information while validating changes against production reports and credentialing data.