Provider Data Coordinator I - Managed Care

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Provider Data Coordinator I - Managed Care in the United States.

In this role, you will be responsible for managing and maintaining accurate provider data across multiple healthcare networks. You will ensure compliance with state requirements and support the creation of reports that monitor network performance and provider activity. This position requires attention to detail, proficiency in database management, and the ability to communicate effectively with various stakeholders. You will work in a dynamic, collaborative environment, helping to optimize data integrity and operational efficiency. This role provides the opportunity to contribute to meaningful healthcare outcomes while developing your professional expertise in managed care and provider network administration.

Accountabilities:

• Create, maintain, and update provider databases, including contract networks, authorizations, third-party liability, and provider set-up corrections.
• Generate and design reports to monitor departmental activity and compliance with state regulations.
• Maintain monthly updates for delegated entity Medicare and Medicaid attachments.
• Provide statistical data and reports to support departmental follow-up and resolution efforts.
• Offer general administrative support to the managed care department.
• Ensure accuracy, consistency, and reliability of provider data across systems.

• High school diploma or equivalent; Associate’s degree in a related field preferred.
• 1+ years of experience in provider data management or network administration, preferably in managed care.
• Proficiency in Microsoft Office applications, particularly Excel and Access.
• Experience managing large databases and generating reports for analysis preferred.
• Strong problem-solving abilities, attention to detail, and organizational skills.
• Excellent verbal and written communication skills.
• Familiarity with Microsoft Outlook, Edge, or Chrome browsers.

• Competitive pay: $19.04 - $32.35 per hour.
• Comprehensive health, dental, and vision insurance.
• 401(k) and stock purchase plans.
• Tuition reimbursement opportunities.
• Paid time off plus holidays.
• Flexible work options: remote, hybrid, field, or office-based schedules.
• Additional incentives based on performance and eligibility.

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching.

When you apply, your profile goes through our AI-powered screening process designed to identify top talent efficiently and fairly.
🔍 Our AI evaluates your CV and LinkedIn profile thoroughly, analyzing your skills, experience, and achievements.
📊 It compares your profile to the job’s core requirements and past success factors to determine your match score.
🎯 Based on this analysis, we automatically shortlist the 3 candidates with the highest match to the role.
🧠 When necessary, our human team may perform an additional manual review to ensure no strong profile is missed.

The process is transparent, skills-based, and free of bias — focusing solely on your fit for the role. Once the shortlist is completed, we share it directly with the company that owns the job opening. The final decision and next steps (such as interviews or additional assessments) are then made by their internal hiring team.

Thank you for your interest!

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