Provider Data Integrity Specialist

LSMA Management, Inc.; San Bernardino (CA); Hybrid; USD 35,817 - 39,950; Full time

Job summary

LSMA Management, Inc. is seeking a Provider Data Integrity Specialist to maintain accurate provider demographics, participation, and contractual data across systems and health plan reporting platforms.

The role supports onboarding, roster submissions, directory accuracy, and system updates to ensure regulatory and contractual compliance. The Specialist works with Credentialing, Provider Relations, and Health Plan Operations to ensure data accuracy and strong network operations.

Qualifications

• Knowledge of provider data management and healthcare systems.
• Experience with provider management systems such as EZ Cap or EPIC.
• Strong attention to detail and accuracy.
• Ability to maintain confidentiality and data integrity.

Responsibilities

• Maintain provider demographic, participation and contractual data across systems.
• Support onboarding, roster submissions, and provider directory accuracy.
• Update systems to ensure regulatory, contractual and operational compliance.
• Collaborate with Credentialing, Provider Relations and Health Plan Operations.

Skills

Provider data management

Healthcare systems

Attention to detail

Organizational skills

Confidentiality

Data integrity

Multi-tasking

Education

High School diploma or equivalent

Associate’s degree

Bachelor’s degree

Tools

EZ Cap

EPIC

Job description

Job Summary

The Provider Data Integrity Specialist is responsible for maintaining accurate provider demographic, participation, and contractual data across organizational systems and health plan reporting platforms. This role supports provider onboarding, roster submissions, provider directory accuracy, and system updates to ensure compliance with regulatory, contractual, and operational requirements. The Specialist works closely with Credentialing, Provider Relations, and Health Plan Operations teams to ensure provider data accuracy and support network operations.

Education & Training

Minimum: High School diploma or equivalent.

Preferred: Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field.

Experience

Minimum: 2+ years of provider data management, credentialing, or healthcare administrative experience.

Preferred: Experience in MSO, IPA, or health plan environment.

Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.

Skills, Knowledge & Abilities

• Knowledge of provider data management and healthcare systems.
• Proficiency with provider management systems such as EZ Cap, EPIC, or similar.
• Strong attention to detail and accuracy.
• Strong organizational and communication skills.
• Ability to maintain confidentiality and data integrity.
• Ability to manage multiple tasks and meet deadlines.

Physical, Mental & Environmental Requirements

Work is primarily performed in a standard office or hybrid office environment and requires prolonged periods of sitting, frequent use of computers, telephones, and office equipment. The role requires sustained mental concentration, attention to detail, and the ability to review and verify credentialing documentation accurately. Occasional lifting or moving of materials up to approximately 15–20 pounds may be required. This role requires the ability to communicate effectively with providers, staff, and external partners, and to maintain confidentiality of sensitive credentialing information.

Pay Range

$26.00 - $29.00 / hourly