Provider Network Data Specialist

PacificSource Health Plans; Kansas City (MO); On-site; USD 36,000 - 57,000; Full time

Job summary

PacificSource Health Plans is seeking a Provider Network Maintenance Associate to ensure accurate provider data across systems, supporting credentialing, contracts and reimbursements while maintaining regulatory compliance. The role collaborates with Provider Relations, Credentialing and Contracting to resolve data issues and improve data quality.

The position requires attention to detail, data accuracy, and ability to work cross-functionally in a healthcare environment, with up to 5% travel for

Qualifications

• 2+ years in an office environment
• Healthcare data management experience preferred
• Experience with provider network operations/credentialing preferred

Responsibilities

• Enter and update provider demographic, credentialing, and contract data accurately
• Process provider additions, terminations, and changes in a timely manner
• Audit provider data for accuracy and regulatory compliance
• Assist in maintaining provider directories and responding to inquiries
• Collaborate with internal teams to resolve data issues

Skills

Data entry skills

Self-motivation

Learning agility

Communication skills

Typing skills

Medical coding

Education

High School Diploma

Associate degree

Bachelor's degree

Job description

PacificSource Health Plans is seeking a Provider Network Maintenance Associate to ensure accurate provider data across systems, supporting credentialing, contracts and reimbursements while maintaining regulatory compliance. The role collaborates with Provider Relations, Credentialing and Contracting to resolve data issues and improve data quality.

The position requires attention to detail, data accuracy, and ability to work cross-functionally in a healthcare environment, with up to 5% travel for