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Provider Data Specialist *Remote*

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Location
United States
Providence

Job Description

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Health Plan is calling a Provider Data Specialist who will:

  • Be responsible for the management of provider contracts
  • Be the main point of contact for contracting, contracting questions and education
  • Be a liaison between the provider, health plan and Ayin
  • Provide EDI support, data importing, EDI testing and provider customer service

We welcome 100% remote work for residents who reside in one of the following States / Regions:

  • Oregon
  • Washington: Clark County

Required qualifications for this position include:

  • 2+ years of healthcare administration experience (Experience to include: Claims, Customer Service, Provider Relations, or other related experience)

Preferred qualifications for this position include:

  • 3+ years of claims processing experience

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Check out our benefits page for more information about our Benefits and Rewards.

Advice from our career coach

As a Provider Data Specialist at Providence Health Plan, it is crucial to have a strong background in healthcare administration to succeed in this role. Here are some tips to help you stand out as an applicant:

  • Highlight your experience in managing provider contracts, EDI support, data importing, and provider customer service.
  • Emphasize any previous experience in claims processing, as it is a preferred qualification for this position.
  • Showcase your ability to be a main point of contact for contracting, contracting questions, and education, as well as being a liaison between the provider, health plan, and Ayin.
  • Demonstrate your knowledge of healthcare administration, including claims, customer service, provider relations, or other related experience.
  • Be prepared to work remotely, if you reside in Oregon or Washington (Clark County).

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