Provider Data Integrity Specialist

LaSalle Medical Associates IPA; San Bernardino, Northern (CA, KY); Ibrido; USD 36.000 - 40.000; Tempo pieno

Descrizione del lavoro

LaSalle Medical Associates IPA seeks a Provider Data Integrity Specialist to maintain accurate provider demographic, participation, and contractual data across organizational systems and health plan reporting platforms. You will support onboarding, roster submissions, and directory accuracy while ensuring regulatory compliance and data integrity across teams.

Working closely with Credentialing, Provider Relations, and Health Plan Operations, you will manage multiple tasks, maintain

Competenze

• 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.
• 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.
• None

Mansioni

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

Conoscenze

Provider data management

Provider management systems: EZ Cap/EP

Attention to detail

Organization & communication

Confidentiality & data integrity

Multitasking & deadlines

Formazione

High School diploma or equivalent

Associate/Bachelor in Healthcare Administration or related

Strumenti

EZ Cap

EPIC

Descrizione del lavoro

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