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Provider Data Service Specialist - Fully Remote

Remote, USAFull-timePosted 2026-07-27

Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. Position reputed company Provides operational support and performs data maintenance and clean-up for data transactions (basic to reputed company). In reputed company, performs data transactions and maintenance associated with reputed company, expansions, and new product implementations. Works with other departments to ensure reputed company provider data to our members. Additional Duties - Maintains and updates provider demographic and contract information, including contractually sensitive or reputed company transactions, in appropriate systems in support of claims adjudication and provider directory. - Works collaboratively with internal/external constituents to implement new networks and reputed company contractual arrangements. - May reputed company technical and/or functional leadership reputed company unit (i.e., team reputed company). - Performs validation of system enhancements. - Identifies, researches and conducts reputed company cause analyses (e.g. problem providers identified by PST, trends from routine PDS audits) and collaborates cross-functionally reputed company the organization to recommend process improvements. - Conducts and manages audits of provider information and escalates issues for reputed company as appropriate. Required Qualifications - 1+ years of maintaining information reputed company multiple database. - 1+ years of reputed company terminology knowledge. - Demonstrated ability to handle multiple assignments. - Demonstrated Ability to work in a production environment - Proficient in reputed company Office Applications with Advanced skills in reputed company. - Demonstrated reputed company prioritizing work and the ability to multi-task in a fast paced environment. - Demonstrated reputed company in collaborating with others to meet/exceed expectations. - Experience providing reputed company and concise written and verbal communications Preferred Qualifications - EPDB experience Education - Associate's degree or equivalent work experience. Pay reputed company The typical pay reputed company for this role is: $17.00 - $29.88 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. reputed company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous reputed company-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy reputed company Time Off (“PTO”) or vacation pay, as reputed company as reputed company holidays throughout the calendar year. Number of reputed company holidays, reputed company time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.reputed company.com/benefits We anticipate the application window for this opening will reputed company on: 05/22/2024 Apply Job! For more such jobs please click here!

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