Provider Data Management Specialist – Entry Level
Posted 23hrs ago
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Job Description
Provider data specialist managing credentialing databases, enrollment systems, and reporting for Beth Israel Lahey Health. Supporting data integrity, compliance, system administration, and healthcare operations.
Responsibilities:
- Administer and maintain databases supporting credentialing, privileging, and provider enrollment operations
- Serve as the functional and technical subject matter expert for credentialing database applications
- Monitor system performance and data quality
- Coordinate with software vendors and information technology teams on enhancements, upgrades, troubleshooting, and issue resolution
- Ensure database integrity, security, confidentiality, and compliance
- Develop and maintain system configurations, forms, templates, rosters, reports, and tracking mechanisms
- Support CAQH data, provider enrollment platforms, data governance and audits, NCQA/CMS/accreditation reporting, provider directory data integrity, and Credentialing, Enrollment, and Facility Credentialing operations
- Generate routine and ad hoc reports
- Analyze and validate provider and credentialing data
- Develop reports and data extracts
- Maintain accurate provider data and support data governance efforts
- Train and support database users
- Liaise with Medical Staff Services personnel, operational leaders, information systems teams, and external vendors
- Support implementations, upgrades, testing, and process improvement initiatives
- Participate in quality improvement initiatives and departmental projects
- Complete required education and training programs
- Perform additional duties and special projects as assigned
Requirements:
- High School Diploma or GED required
- Associate degree in Computer Science, Information Technology, Health Information Management, Business Administration, or a closely related field preferred
- Knowledge of MD-Staff credentialing software and associated applications strongly preferred
- Experience supporting MD-Staff system administration, provider data management, reporting, workflow configuration, and credentialing database maintenance preferred
- Knowledge of credentialing, privileging, provider enrollment, and practitioner data management processes within a healthcare environment
- Strong understanding of database management principles and system administration
- Advanced analytical and reporting skills, including data collection, validation, management, and presentation
- Experience supporting application management, testing, and project implementation activities
- Proficiency with Microsoft Office Suite, including Excel reporting and data analysis tools
- Excellent written, verbal, organizational, and interpersonal communication skills
- Ability to prioritize multiple assignments and work independently in a fast-paced healthcare environment
- Must be vaccinated against influenza (flu) as a condition of employment
Benefits:
- Influenza vaccination required as a condition of employment
- Equal Opportunity Employer/Veterans/Disabled
