Provider Data Specialist I (Hybrid)

Western Health Advantage, Inc.

Sacramento (CA)

Hybrid

USD 30,307 - 33,062

Full time

14 days+
Application generator

Turn this role into an interview — a resume and cover letter built around what this employer wants.

Get past ATS filters

Job summary

Western Health Advantage is seeking a Provider Relations Representative I to support accurate and compliant provider data management in a hybrid Sacramento, CA setting. You will handle data updates, respond to time-sensitive requests, and collaborate across teams.

Ideal candidates have an Associate degree and 2+ years in healthcare, with proficient Excel/Word skills, attention to detail, and the ability to manage multiple priorities. Experience with Facets is a plus.

Qualifications

  • Associate degree required.
  • 2+ years of healthcare experience (HMO preferred).
  • Strong attention to detail and ability to manage multiple priorities.
  • Intermediate skills in Excel, Word, email, and database systems.
  • Experience with Facets is a plus.

Responsibilities

  • Maintain and update provider data (additions, terminations, changes) with strong accuracy.
  • Manage and respond to time-sensitive emails and requests.
  • Research and resolve provider data discrepancies and issues.
  • Support provider reporting, including monthly and quarterly deliverables.
  • Provide and manage access to eligibility systems for providers.
  • Assist with system testing (Facets) and website updates.

Skills

Attention to detail
Multitasking
Data management
Collaboration across teams

Education

Associate’s degree in Business Administration or related field

Tools

Excel
Word
Email
Database systems
Facets

Job description

Western Health Advantage is seeking a Provider Relations Representative I to support accurate and compliant provider data management in a hybrid Sacramento, CA setting. You will handle data updates, respond to time-sensitive requests, and collaborate across teams.

Ideal candidates have an Associate degree and 2+ years in healthcare, with proficient Excel/Word skills, attention to detail, and the ability to manage multiple priorities. Experience with Facets is a plus.

Get your free, confidential resume review.
or drag and drop your file here.
Similar jobs

Similar jobs worth comparing

Provider Data & Relations Specialist (Hybrid)
Provider Data & Relations Specialist (Hybrid)

Western Health Advantage • Sacramento (CA)

Hybrid
Provider Relations Representative I
Provider Relations Representative I

Western Health Advantage, Inc. • Sacramento (CA)

Hybrid
USD 30,307 - 33,062
Provider Relations Representative I
Provider Relations Representative I

Western Health Advantage • Sacramento (CA)

Hybrid
Hybrid Claims & Provider Relations Compliance Specialist
Hybrid Claims & Provider Relations Compliance Specialist

Western Health Advantage • Sacramento (CA)

Hybrid
USD 70,000 - 85,000
Healthcare Data Quality Specialist | Hybrid | 6–9 Months
Healthcare Data Quality Specialist | Hybrid | 6–9 Months

Eightelevengroup • Sacramento (CA), Northern (KY)

Hybrid
USD 40,000 - 66,000
Medical benefits
Dental
Vision
+4
Hybrid Claims & Provider Compliance Oversight Specialist
Hybrid Claims & Provider Compliance Oversight Specialist

Western Health Advantage, Inc. • Sacramento (CA)

Hybrid
USD 70,000 - 85,000
Provider Data Quality Analyst - Remote
Provider Data Quality Analyst - Remote

HCSC Group • Chicago (IL), Northern (KY)

Hybrid
USD 38,000 - 80,000
Remote role
Senior Provider Data Management Specialist
Senior Provider Data Management Specialist

CareMore Health Management Services, LLC • San Francisco (CA)

On-site
USD 55,000 - 82,000
Remote Provider Relations & Data Integrity Specialist
Remote Provider Relations & Data Integrity Specialist

Globalhealth Holdings • Oklahoma City (OK)

Hybrid
USD 52,000 - 75,000
Senior Provider Data Integrity Specialist
Senior Provider Data Integrity Specialist

CareMore Health • California (MO)

On-site
USD 55,000 - 82,000