Provider Data Quality & Integrity Coordinator

Professional Management Enterprises (PME); Indianapolis (IN); On-site; USD 42,000 - 62,000; Full time

Job summary

PME is seeking a Provider Database Coordinator to ensure the accuracy, completeness, and integrity of provider information across databases, systems, and provider directories. This role collaborates with providers, Network Management, and Provider Data Services teams to keep data current and reliable.

The position involves identifying, researching, and resolving data inconsistencies while supporting high-quality provider data to assist internal operations and member access to care.

Qualifications

• High school diploma or equivalent required.
• Three years of general data management experience in healthcare or claims environment.
• Two years in provider relations/health plan operations environment.

Responsibilities

• Maintain accurate and complete provider information across Health Net databases, systems, and provider directories.
• Review provider data to identify discrepancies, missing information, and inconsistencies.
• Research and resolve provider data issues in a timely and accurate manner.
• Collaborate with providers to verify and update demographic, practice, and other provider information.
• Partner with Network Management and Provider Data Services staff to investigate and resolve data-related issues.
• Perform data management and quality-control activities to support the integrity of provider records.
• Review information across multiple systems to identify discrepancies and ensure consistency.
• Follow established procedures and standards for provider data maintenance and documentation.
• Communicate effectively with internal teams and external provider contacts regarding data updates and corrections.
• Support ongoing efforts to improve provider data accuracy, completeness, and operational efficiency.

Skills

Data management

Attention to detail

Analytical skills

Communication skills

Team collaboration

Education

High school diploma

Some college coursework

Tools

Database systems

Job description

PME is seeking a Provider Database Coordinator to ensure the accuracy, completeness, and integrity of provider information across databases, systems, and provider directories. This role collaborates with providers, Network Management, and Provider Data Services teams to keep data current and reliable.

The position involves identifying, researching, and resolving data inconsistencies while supporting high-quality provider data to assist internal operations and member access to care.