Provider Data Representative

General Dynamics
United States
Workplace: RemoteFull timeUSD 46,325 - 62,675 annuallyFunction: Solutions Engineering & Sales EngineeringExperience: 3+ yearsSkills: ["Data integrity","Communication","Collaboration","Process improvement"]

Maintain accurate provider demographic, participation, credentialing, enrollment, roster, and directory information for the World Trade Center Health Program. You’ll process and reconcile provider data across multiple systems, audit for completeness and compliance, resolve discrepancies with partner teams, and produce quality reports and discrepancy logs to support claims payment accuracy and directory integrity. This role emphasizes data governance, timeliness, and operational reporting.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
General Dynamics
General Dynamics
2 days ago

Provider Data Representative

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 16 hours agoStatus: Live

Job Summary

Maintain accurate provider demographic, participation, credentialing, enrollment, roster, and directory information for the World Trade Center Health Program. You’ll process and reconcile provider data across multiple systems, audit for completeness and compliance, resolve discrepancies with partner teams, and produce quality reports and discrepancy logs to support claims payment accuracy and directory integrity. This role emphasizes data governance, timeliness, and operational reporting.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Mid level

Key Responsibilities

  • •Process provider roster submissions and updates to maintain accurate provider demographic, enrollment, and participation records.
  • •Reconcile provider rosters against credentialing, claims, enrollment, and directory systems to identify and correct discrepancies.
  • •Support credentialing and enrollment by validating provider demographic information and resolving participation and enrollment discrepancies.
  • •Audit provider records for completeness, accuracy, and compliance; monitor directory accuracy and claims-impacting error rates.
  • •Produce provider data quality reports, discrepancy logs, and audit results; communicate requirements and discrepancies and recommend process improvements.
Travel: Low travel

Pay and Benefits

Salary: USD 46,325 - 62,675 annually
Perks:Health InsuranceDentalVision401kPaid Parental

Key Requirements

  • •3+ years of related experience in provider/data operations or similar roles.
  • •Strong data integrity and data quality focus, including document and record revision workflows.
  • •Ability to validate and maintain core provider data fields (e.g., NPIs, TINs, specialties, practice locations, affiliations, and EFT details).
  • •Experience reconciling roster/provider data against credentialing, enrollment, terms and conditions, claims, and directory systems.
  • •Ability to produce and track reporting on quality scores, error rates, turnaround times, and maintenance productivity.
Experience:3+ yearsHealthcareClaimsData operations
Skills:Data integrityCommunicationCollaborationProcess improvement

Eligibility

Security Clearance:MBI (T2)

Company Brief

General Dynamics
Provides IT, systems engineering, cybersecurity, cloud, and mission support services to U.S. federal civilian and defense agencies, delivering large-scale technology solutions and managed services for national security and government operations.
Industry: Defense Technology
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: Tysons / Fairfax, United States
WebsiteLinkedIn