Job Description
Are you a detail-oriented problem solver with strong organizational skills and a knack for navigating software systems? We are seeking a dedicated Provider Data Management Analyst to join our collaborative team!
In this fully remote position, you will serve as vital internal support, overseeing provider data integrity across assigned state markets. Working standard business hours (Monday through Friday, 8:00 AM – 5:00 PM EST), you will handle provider inquiries, process new provider enrollments, and execute data updates received from internal departments. You will utilize multiple applications to validate provider credentials, claims payment details, and directory information, ensuring all data is complete, accurate, and aligned with plan specifications. In addition to managing daily production goals based on priority, you will partner with a supportive 13-member team to tackle special assignments and large-scale data reports. If you bring strong Microsoft Excel skills, system adaptability, and a background in data analysis or healthcare operations, this contract role offers an outstanding platform to showcase your talents.
salary: $22.99 - $23 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Position Summary: Perform provider data analysis, enrollment, and system updates to ensure data accuracy for claims processing and provider directories.
Key Responsibilities: - Enroll providers and practitioners into provider data management systems following contract guidelines.
- Update provider demographic, claims payment, and directory information based on incoming internal requests.
- Conduct data analysis using internet sources and internal applications to validate record completeness.
- Perform quality service checks on systemic data, claims processing rules, and directory listings.
- Research and resolve provider data discrepancies to support assigned state market teams.
Requirements: - High School Diploma or GED required; Associate's degree or college coursework preferred.
- 1+ years of data entry, data analysis, or customer service experience.
- Preferred experience in healthcare operations, claims, billing, provider relations, or credentialing.
- strong proficiency in Microsoft Office, with emphasis on MS Excel data manipulation.
- Exceptional organizational capabilities, system adaptability, and attention to detail.
Skills
- Basic Computer Skills
- Office Management
- Management Responsibility
Qualifications
- Years of experience: 2 years
- Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Job Tags
Hourly pay, Permanent employment, Contract work, Temporary work, Work experience placement, Work at office, Remote work, Monday to Friday, Shift work