Provider Data Integrity Specialist

LSMA Management Inc; San Bernardino (CA); Hybrid; USD 36,000 - 40,000; Full time

Job summary

LSMA Management Inc. seeks a Provider Data Integrity Specialist to maintain provider demographic, participation, and contractual data across organizational systems and health plan reporting platforms.

This role supports onboarding, roster submissions, directory accuracy, and system updates to ensure compliance with regulatory and contractual requirements. The ideal candidate will have 2+ years in provider data management or healthcare administration, familiarity with EZ Cap or EPIC, and strong

Qualifications

• Minimum: High School diploma or equivalent required.
• Preferred: Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field.
• Minimum: 2+ years of provider data management, credentialing, or healthcare administrative experience.

Responsibilities

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

Skills

Provider data management

Attention to detail

Organizational skills

Communication skills

Confidentiality

Multi-tasking

Education

High School diploma or equivalent

Associate’s or Bachelor's degree in Healthcare Administration or Business Administration

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.

Requirements

MINIMUM & PREFERRED QUALIFICATIONS:

Education/Training

Minimum: High School diploma or equivalent required.

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.

Certification(s)

None

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:

The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. 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