Remote Provider Data & Network Maintenance Specialist

PacificSource; Missouri; Hybrid; USD 36,000 - 57,000; Full time

Benefits offered by this job

Flexible telecommute policy

Medical, vision, and dental insurance

401(k) plan

Paid time off and holidays

Tuition reimbursement and training

Life insurance

Flexible spending account

Job summary

PacificSource is seeking a Provider Network Maintenance Associate to ensure provider data accuracy and regulatory compliance across systems. You will update credentialing, contracts, and demographic details for network providers, while partnering with Provider Relations and Compliance teams to support timely reimbursements and reliable data.

The role emphasizes data audits, directory maintenance, and validating licensure and eligibility to meet internal standards and state/federal requirements.

Qualifications

• Experience handling provider data and credentialing information.
• Familiarity with HIPAA and healthcare privacy guidelines.
• Strong attention to detail and accuracy in data entry.

Responsibilities

• Enter and update provider demographics, credentialing, and contract data accurately.
• Audit provider data for accuracy and regulatory compliance.
• Maintain provider directories and verify licensure and eligibility.
• Collaborate with internal teams to resolve data discrepancies.
• Support data quality initiatives and process improvements.

Skills

Data entry

Data integrity

Regulatory compliance

Education

High School Diploma

Associate/Bachelor's preferred

Tools

Healthcare data systems

Job description

PacificSource is seeking a Provider Network Maintenance Associate to ensure provider data accuracy and regulatory compliance across systems. You will update credentialing, contracts, and demographic details for network providers, while partnering with Provider Relations and Compliance teams to support timely reimbursements and reliable data.

The role emphasizes data audits, directory maintenance, and validating licensure and eligibility to meet internal standards and state/federal requirements.