Provider Data Management Specialist

Imagine360; United States; Remote; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health plan options

Company-paid premiums for disability &

Life Insurance

Parental Leave Policy

20 days PTO / 10 holidays

Tuition reimbursement

401k company contribution

Disability & Life Insurance

Professional development opportunities

Diversity & inclusion initiatives

Job summary

Imagine360, LLC is seeking a Provider Data Management Specialist to help ensure timely updates to provider demographics across the Imagine360 networks. The role supports member, provider, and administrator interactions, thriving in a fast-paced, repetitive task environment.

The position is 100% remote within the United States, with responsibilities including coordinating inbound requests, updating data systems, and maintaining organized provider documents.

Qualifications

• Bachelor’s degree preferred.
• Experience in health insurance or provider networks preferred.
• Experience in provider relations or customer service preferred.

Responsibilities

• Manage a queue of inbound provider data requests via email and Salesforce.
• Submit updates to provider data systems for demographic changes.
• Respond promptly to physician inquiries about status and contracts.
• Ensure provider data and contracts are researched and routed to the appropriate team.
• Organize and store provider documents securely.
• Communicate clearly with internal teams and external providers.
• Maintain a positive, service-oriented work environment.
• Assist the Director with other duties as assigned.

Skills

Strong communicator

Organizational skills

Detail-oriented

MS Word

MS Excel

Outlook

Salesforce proficiency

Analytical skills

Education

Bachelor's degree preferred

Tools

Salesforce CRM

MS Office Suite

Job description

Imagine360 is seeking a Provider Data Management Specialist to join the team! In the role of Provider Data Management Specialist, you will play a critical part in helping ensure that all inbound provider demographic updates for the Imagine360 networks are addressed and resolved in a timely fashion. This directly impacts the experience of the members, providers, and third-party administrators that use our core product. Ideal candidates will thrive in a fast-paced repetitive task-oriented environment.

Position Location:

100% remote

Responsibilities include but are not limited to:

• Manage a queue of inbound requests from contracted providers using email and salesforce.
• Submit request to update provider data system with new demographic information (e.g. new TINs, location change, provider add/terms etc.).
• Respond in a timely manner to physician inquiries regarding status of their request, updates or initial contracting requests for effective dates or other contract/provider related information.
• Ensure all provider data / contracts are researched, located, and assigned quickly and appropriately to our team so it can be updated in relevant systems.
• Ensure organized storage of all relevant provider documents.
• Use effective verbal and written communication skills with teammates internally and doctors externally.
• Foster a service-oriented working environment by having a positive attitude and treating others in a kind and professional manner.
• Other duties as assigned by Director.

Required Experience/Education:

• Bachelors Degree preferred
• Previous health insurance / network experience preferred
• Previous provider relations or customer service experience preferred

Skills and Abilities:

• Strong, effective communicator capable of navigating challenging conversations
• Excellent organizational, interpersonal, presentation, facilitation, and communication skills
• Demonstrated commitment to high professional ethical standards
• Ability to adapt to a fast paced, continually changing business and work environment while managing multiple priorities
• Strong technical, analytical, and trouble-shooting skills
• Excellent follow-through skills, self-motivated and detail-oriented
• Strong organizational skills to manage multiple projects, issues, and priorities effectively and simultaneously, with high level of attention to detail
• Proficient in the MS Office Suite to include MS Word, Excel and Outlook
• Proficient is using Salesforce

What can Imagine360 offer you?

• Multiple Health plan options
• Company paid employee premiums for disability and life insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Company paid Short & Long term Disability plus Life Insurance
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.