Remote Provider Relations & Data Integrity Specialist

University of California - Los Angeles Health; Los Angeles (CA); Hybrid; USD 44,000 - 69,000; Full time

Job summary

University of California - Los Angeles Health is seeking a Provider Relations Intake Specialist to serve as the centralized contact for provider network changes within Managed Care Operations. You will coordinate additions, changes, and terminations while ensuring accurate provider data and timely health plan submissions.

You will collaborate with multiple teams to track provider rosters, credentialing, contracting, and configuration, monitor requests to completion, and maintain auditable

Qualifications

• High school diploma.
• Two years or more of Healthcare managed care operations, IPA, or MSO provider relations experience.
• Two years or more of working knowledge of required credentialing documents, contracting terminology, or network operations.
• Two years or more of understanding of the handoffs between Provider Relations, Contracting, Credentialing, and Configuration, i.e., Provider Lifecycle Management (PLM).
• Two years or more of experience with provider rosters, credentialing data, and health plan submissions.
• Two years or more of proficiency with Microsoft Office (Word, Excel, Outlook Teams).
• Strong understanding of contracted health plans and provider relationships.
• Skilled in documenting with high attention to detail and data accuracy.
• Ability to manage high-volume intake in an enterprise environment.
• Strong communication skills with providers, practice staff, internal, and external stakeholders.
• Comfort working in remote or hybrid environments using collaboration tools. Ability to work departmental hours of Monday - Friday 8am - 5pm

Responsibilities

• Manage and track provider-related requests, including new provider additions, demographic and practice changes, and terminations.
• Review and validate provider rosters and reconcile discrepancies across medical group systems, health plans, credentialing, contracting, and configuration records.
• Support health plan roster submissions, provider directory accuracy, health plan activation, and management of health plan IDs.
• Collaborate with Provider Relations, Contracting, Credentialing, Configuration, Claims, Billing, Finance, Member Services, Quality, and Compliance to coordinate provider changes.
• Monitor requests through completion, proactively follow up on delays, and escalatet stalled requests as needed.
• Maintain accurate, audit-ready documentation and support compliance, regulatory, and process improvement initiatives.

Skills

Healthcare ops experience

Credentialing knowledge

Provider Lifecycle Mgmt

Provider rosters

MS Office

Provider relationships

Attention to detail

Data accuracy

High-volume intake

Communication skills

Remote/hybrid work

Education

High school diploma

Tools

PLM/CRM software

Job description

University of California - Los Angeles Health is seeking a Provider Relations Intake Specialist to serve as the centralized contact for provider network changes within Managed Care Operations. You will coordinate additions, changes, and terminations while ensuring accurate provider data and timely health plan submissions.

You will collaborate with multiple teams to track provider rosters, credentialing, contracting, and configuration, monitor requests to completion, and maintain auditable