7,731 provider data jobs at 3,392 companies in United States

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Provider Data Specialist
Brighton, Massachusetts, United States
$70k-$80k/yr HybridFull Time
Brighton Marine
Brighton Marine: Healthcare and housing services for veterans and their families.
2+ YOEMaintain and validate provider and facility data, ensure regulatory and directory compliance, support credentialing and claims teams, and generate data quality reports. Requires 2+ years provider data or related healthcare experience.
Microsoft Excel, Microsoft Office, Facets, QNXT, HealthRules, CAQH, NPPES, PECOS
2mo
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Provider Data Integrity Specialist
San Bernardino, California, United States
$26-$29/hr HybridFull Time
LSMA Management
LSMA Management: Provides comprehensive administrative and operational support for medical practices.
2+ YOE2+ years provider data management/credentialing; high school; healthcare admin experience preferred; MSO/IPA health plan experience preferred.
EZ Cap, EPIC
1mo
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Provider Data Analyst - 26-54
San Ramon, California, United States
$70k-$88k/yr OnsiteFull Time
Hill Physicians
Hill Physicians: Provides managed healthcare services through a large physician network.
Bachelor's degree or equivalent, experience with data validation and analysis, project coordination, proficiency in Microsoft Office/Excel, Salesforce experience preferred, strong communication and attention to detail.
Salesforce, Microsoft Office Suite, Microsoft Excel, Tableau
3d
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Manager, Provider Data Management
Illinois, United States
$70k-$126k/yr RemoteFull Time
Centene
CenteneNYSE: CNC: Provides government-sponsored and commercial healthcare insurance programs and services.
3+ YOE1+ MgmtBachelor's in business/healthcare, 3+ years healthcare experience, 1+ year management experience, provider directory and provider data knowledge, project and reporting experience.
1d
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Provider Data Services Specialist (Arizona)
Arizona, United States
$17-$28/hr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOEAt least 1 year healthcare or data-entry experience, high school diploma/GED, proficiency with Microsoft Teams/Excel/Word; SQL and QXNT preferred; strong attention to detail and problem-solving.
Microsoft Teams, Microsoft Excel, Microsoft Word, SQL, QXNT
2w
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Director, Provider Data Management
Portland, Oregon, United States
$155k-$190k/yr HybridFull Time
CareOregon
CareOregon: Provides managed health insurance and services for low-income populations.
10+ YOE4+ Mgmt10+ years in health plan operations or credentialing, experience with Medicaid/Medicare compliance, strategic leadership, people and budget management, and provider data systems oversight.
1w
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Manager, Provider Data Quality
Canton, Massachusetts, United States
$105k-$157k/yr HybridFull Time
Point32Health
Point32Health: Provides health insurance plans and medical well-being services.
5+ YOE5+ years managed care experience, program development and team leadership, subject-matter knowledge of provider directory regulations, advanced Excel skills, strong communication, and ability to oversee vendor/platform performance.
Microsoft Excel
2mo
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Senior Data Scientist, Provider Data Science
United States
$167k-$185k/yr RemoteFull Time
Thyme Care
Thyme Care: Provides technology-enabled oncology care navigation and patient support.
Deep experience with healthcare data (EHR/claims/prior auth), analytics, data modeling, dbt and SQL expertise, working knowledge of Python or R, and familiarity with BI tools such as Looker.
dbt, SQL, Python, R, Looker, EMR
5d
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Provider Network Data Maintenance Associate
Boise, Idaho, United States
$36k-$57k/yr OnsiteFull Time
PacificSource
PacificSource: Provides health insurance plans and healthcare administration services.
2+ YOEMaintain and audit provider data, process additions/terminations/changes, verify licensure and payer eligibility, support compliance and provider inquiries. Requires accurate data entry and collaboration with internal teams.
CPT, ICD-10
2w
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Analyst, Data Management (National Provider Contracts)
Long Beach or United States
$54k-$118k/yr RemoteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
5+ YOE5+ years data management experience, BA/BS required, proficiency with SQL, EMR systems, MS Office, Python/Perl/SAS, experience with data profiling, migration, and healthcare provider data.
Microsoft Office, SQL, Python, PERL, SAS, Salesforce, Data cubes, QNXT, Med Insight, CMS
3w
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Provider Directory Specialist
Montebello, California, United States
$25-$29/hr OnsiteFull Time
AltaMed
AltaMed: Provides comprehensive healthcare services to underserved Southern California communities.
2+ YOEMaintain and audit provider directory data, validate demographic and credentialing details, resolve discrepancies, and conduct outreach; bachelor’s with 2 years or HS diploma with 6 years in provider data/network/credentialing; CMS compliance experience.
1d
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Provider Reimbursement Analyst
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$78k-$92k/yr RemoteFull Time
TriWest Healthcare Alliance
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOEBachelor's degree or equivalent, 3+ years healthcare/data analysis, knowledge of CMS coding and provider reimbursement, strong Excel and SQL skills, experience with data visualization and government claims preferred.
Microsoft Excel, SQL, SQL Reporting Services (SRS), Tableau, Power BI
2mo
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Provider Installation Analyst
Bellaire, Texas, United States
OnsiteFull Time
Texas Children's Hospital
Texas Children's Hospital: Provides specialized pediatric and maternal healthcare and clinical research.
2+ YOEHS Diploma or GED; 2 years in managed care/provider data/configuration/claims processing; TX Medicaid experience preferred
4w
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Provider Network Reporting Specialist_NM
Troy, New York, United States
$60k-$65k/yr OnsiteFull Time
Versant Health
Versant Health: Manages vision care benefits and provider networks.
Formatting and delivering provider network data, producing network and disruption reports, performing data and statistical analysis, maintaining Zelis and competitor data, proficiency with Excel/Access and Business Objects, and HIPAA compliance.
Microsoft Excel, Microsoft Access, Business Objects, Quest Analytics, Zelis
4w
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Provider Network Reporting Specialist_NM
Troy, New York, United States
$60k-$65k/yr OnsiteFull Time
Versant Health
Versant Health: Administers managed vision care and eye health insurance plans.
Experience producing provider network reports and data analysis; proficiency with Excel/Access and Business Objects; strong written/oral communication, statistical/data analysis skills; HIPAA compliance awareness; bachelor\u0002s degree preferred.
Microsoft Excel, Microsoft Access, Business Objects, Quest Analytics, Zelis
1w
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VP, Digital Product – Provider Data Platforms
Minnetonka, Minnesota, United States
$200k-$344k/yr HybridFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
12+ YOE7+ Mgmt12+ years in digital product or data platform leadership, 7+ years leading large teams; experience with data platforms, APIs, integrations, regulated industries, and stakeholder influence.
APIs, AI/ML
3mo
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Senior Data Center Commissioning Provider
United States
$90k-$115k/yr RemoteFull Time
Salas O'Brien
Salas O'Brien: Provides integrated engineering design and technical consulting services.
7+ YOE7-10 years commissioning experience; Bachelor's degree; OSHA 10; PE and building commissioning certifications preferred.
Building Automation Systems
2w
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Provider Specialist
Pleasanton, California, United States
$26-$29/hr HybridFull Time
Hively
Hively: Provides child care resources and mental health services to families.
BA/BS in social services or related field, prior provider payments or family support experience, strong communication, data entry, confidentiality handling, and technical skills (Microsoft Office, Zendesk, Google Suite).
Microsoft Office, Zendesk, Google Suite, Microsoft Excel, Google Sheets, Excel
1mo
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Director, Provider Operations
Tempe or New York City
$148k-$194k/yr HybridFull Time
Oscar Health
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
10+ YOE5+ Mgmt10+ years in operations/health insurance/data/consulting, 5+ years leading operational teams and provider data/network operations, program management and process improvement experience required.
SQL, Lean Six Sigma, Master Data Management (MDM), AI, RPA
1mo
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Provider Contracting Analyst II
Dayton, Ohio, United States
$72k-$116k/yr OnsiteFull Time
CareSource
CareSource: Provides public health insurance plans and care management services.
2+ YOEBachelor's degree or equivalent experience, 2+ years in healthcare reimbursement/provider contracting or claims analysis, proficiency in SQL and Python, experience with Power BI/Tableau, and strong analytical and communication skills.
SQL, Python, Power BI, Tableau