Provider Data Integrity Specialist

Sutherland Global; Dallas (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Sutherland Global in Dallas, TX is seeking a Provider Data Management Specialist to maintain provider records across health plan systems. You will enter and update provider data and demographics with a focus on accuracy and compliance.

Responsibilities include validating credentialing data, contracts, and demographics; conducting audits; loading data per process guidelines; and meeting daily targets in a independent, timely manner.

Qualifications

• Excellent written communication in English with clarity and accuracy.
• Strong reading and listening comprehension in English for processing requests.
• Analytical, logical, and organizational abilities for problem solving.
• Ability to prioritize tasks and multitask in a fast-paced environment.
• Proven customer focus and service orientation.
• Proficiency with Microsoft Office and web-based applications.
• Typing speed of at least 40 words per minute with accuracy.
• Must have a productive and secure, distraction-free work environment.

Responsibilities

• Accurately enter, update, and maintain provider information in internal systems.
• Validate credentialing data, contracts, and demographics for accuracy.
• Ensure provider records comply with CMS, HIPAA, and state/federal regulations.
• Conduct routine audits and reconciliations to maintain data integrity.
• Load required data into health plan systems per process guidelines.
• Manage daily activities and meet set targets with minimal supervision.
• Prioritize work and complete all job duties within established timeframes.

Skills

English proficiency

Analytical skills

Organization

Multitasking

Customer focus

Microsoft Office

Typing speed 40 wpm

Reliable internet

Secure work environment

Job description

Sutherland Global in Dallas, TX is seeking a Provider Data Management Specialist to maintain provider records across health plan systems. You will enter and update provider data and demographics with a focus on accuracy and compliance.

Responsibilities include validating credentialing data, contracts, and demographics; conducting audits; loading data per process guidelines; and meeting daily targets in a independent, timely manner.