Career and Education

OverviewThe Provider Data Management Specialist 3 will perform the end-to-end processes necessary to ensure the contract and demographic data required to implement and operationalize external provider contracts is accurately captured in source systems. Accountable for collection, analysis, validation, and set up of contract data elements, provider information, and practitioner demographics to support contracting, claims payment, credentialing, referrals, regulatory and network adequacy reporting, and directory display. Manages outreach needed to ensure all contracted provider data is accurately maintained within the defined business rules, data quality standards and regulatory timelines. The accuracy and timeliness of securing and maintaining provider