Provider Data Representative

General Dynamics
United States
Workplace: RemoteFull timeUSD 22.97 - 31.07 hourlyFunction: Solutions Engineering & Sales EngineeringExperience: 3+ yearsEducation: associatesSkills: ["Analytical thinking","Problem solving","Process improvement mindset","Attention to detail","Collaboration"]

Maintain accurate provider demographic, participation, credentialing, enrollment, roster, and directory data for the World Trade Center Health Program. Ensure directory accuracy and timely updates within SLAs, improve audit scores and reduce claims-impacting data errors, reconcile rosters against multiple systems, and support credentialing and enrollment readiness. Provide reporting and analytics dashboards, collaborate with Provider Relations and Claims Operations to resolve discrepancies, and recommend process improvements and automation to strengthen data quality and governance.

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FursaFursa
General Dynamics
General Dynamics
2 days ago

Provider Data Representative

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

Source: Company careers pageValidated by: Fursa AI
Last checked: 2 hours agoStatus: Live
Reposted: similar role first listed 2 weeks ago

Job Summary

Maintain accurate provider demographic, participation, credentialing, enrollment, roster, and directory data for the World Trade Center Health Program. Ensure directory accuracy and timely updates within SLAs, improve audit scores and reduce claims-impacting data errors, reconcile rosters against multiple systems, and support credentialing and enrollment readiness. Provide reporting and analytics dashboards, collaborate with Provider Relations and Claims Operations to resolve discrepancies, and recommend process improvements and automation to strengthen data quality and governance.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Mid level

Key Responsibilities

  • •Maintain provider demographic, enrollment, and participation records to support accurate claims payment and directory publication.
  • •Process roster updates, additions, terminations, and changes within SLAs to reduce cycle time and backlog.
  • •Reconcile provider rosters against credentialing, claims, enrollment, and directory systems; identify and correct discrepancies.
  • •Support credentialing and enrollment by validating provider data for onboarding and recredentialing and resolving participation discrepancies.
  • •Audit data quality, produce discrepancy and audit reports, collaborate with Claims Operations for remediation, and recommend workflow and tooling improvements.
Travel: Low travel

Pay and Benefits

Salary: USD 22.97 - 31.07 hourly
Perks:Health InsuranceDentalVision401kPaid LeaveRemote Work

Key Requirements

  • •Associates Degree.
  • •3+ years of experience in provider data, credentialing, enrollment, or health plan operations.
  • •Strong analytical skills and proficiency in Microsoft Excel.
  • •Exceptional attention to detail and accuracy.
  • •Knowledge of provider directory regulatory requirements and healthcare data standards (preferred).
Experience:3+ yearsHealthcareHealth plan operations
Education:Associate's
Skills:Analytical thinkingProblem solvingProcess improvement mindsetAttention to detailCollaboration
Tech Stack:Microsoft Excel

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