Provider Data Management Specialist – Entry Level

This is a fully remote position, open to applicants in Massachusetts.

📋 Description

• Oversee and sustain databases that facilitate credentialing, privileging, and provider enrollment activities.

• Act as the functional and technical expert for credentialing database applications.

• Assess system performance and ensure data quality.

• Collaborate with software vendors and IT teams on enhancements, upgrades, troubleshooting, and resolving issues.

• Safeguard database integrity, security, confidentiality, and compliance.

• Create and manage system configurations, forms, templates, rosters, reports, and tracking mechanisms.

• Assist with CAQH data, provider enrollment platforms, data governance and audits, NCQA/CMS/accreditation reporting, provider directory data integrity, and Credentialing, Enrollment, and Facility Credentialing operations.

• Produce routine and on-demand reports.

• Evaluate and verify provider and credentialing data.

• Generate reports and data extracts.

• Keep provider data accurate and support data governance initiatives.

• Train and assist database users.

• Connect with Medical Staff Services personnel, operational leaders, information systems teams, and external vendors.

• Facilitate implementations, upgrades, testing, and process improvement projects.

• Engage in quality improvement initiatives and departmental projects.

• Complete mandatory education and training programs.

• Carry out additional duties and special projects as assigned.

⛳️ Requirements

• High School Diploma or GED is required.

• An Associate degree in Computer Science, Information Technology, Health Information Management, Business Administration, or a related field is preferred.

• Familiarity with MD-Staff credentialing software and related applications is strongly preferred.

• Experience in supporting MD-Staff system administration, provider data management, reporting, workflow configuration, and credentialing database upkeep is preferred.

• Understanding of credentialing, privileging, provider enrollment, and practitioner data management processes within a healthcare setting.

• Strong grasp of database management principles and system administration.

• Advanced analytical and reporting abilities, including data collection, validation, management, and presentation.

• Experience in supporting application management, testing, and project implementation activities.

• Proficiency in Microsoft Office Suite, particularly Excel for reporting and data analysis.

• Exceptional written, verbal, organizational, and interpersonal communication skills.

• Capability to prioritize multiple assignments and work independently in a fast-paced healthcare environment.

• Must be vaccinated against influenza (flu) as a condition of employment.

🏝️ Benefits

• Influenza vaccination required as a condition of employment.

• Equal Opportunity Employer/Veterans/Disabled.