Provider Data Specialist

Curana Health

. Maintain and update provider information within Provider Data Management systems .

Posted 9/15/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider data management, ensuring data accuracy and compliance with industry standards. Proficient in utilizing data management software and Microsoft Office tools to support internal and external stakeholder inquiries.

Highest-signal resume keywords

Provider Data ManagementData Quality MonitoringRegulatory ComplianceMicrosoft Excel ProficiencyHealthcare Administration Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data Management SoftwareProvider Data VerificationClaims ProcessingCredentialing KnowledgeReport Generation

Soft Skills

Attention to DetailAnalytical ThinkingWritten CommunicationOrganizational SkillsProblem-Solving Ability

Tools & Technologies

Microsoft OfficeNPPES

Industry Keywords

NCQA RegulationsCMS RegulationsHealthcare Provider Directories

About the role

Key responsibilities & impact

Maintain and update provider information within Provider Data Management systems
Verify provider data from external sources, including provider applications and credentialing teams, and update systems accordingly
Coordinate with internal and external partners to obtain missing or incomplete data and ensure regulatory compliance
Monitor data quality and accuracy, identifying and correcting discrepancies
Respond to inquiries from internal and external stakeholders regarding provider data
Generate reports to track data accuracy, completeness, and timeliness
Collaborate with claims, customer service, and network management teams to resolve provider issues
Assist with audits and data verification to ensure compliance with industry standards
Provide training and support to internal teams on provider data management systems and processes
Stay current with industry standards, regulatory requirements, and best practices in provider data management

Requirements

What you’ll need

High school diploma or equivalent required
3+ years in provider data management, healthcare administration, or a related field
Familiarity with healthcare provider directories, claims processing, and credentialing a plus
Proficient in data management software, Microsoft Excel, and Microsoft Office
Experience with NPPES and similar tools
Knowledge of NCQA or CMS regulations a plus
Strong attention to detail and analytical thinking
Excellent written and verbal communication
Ability to work independently and collaboratively
Strong organizational and time management skills
Problem-solving and critical thinking ability
The company is unable to provide sponsorship for a visa at this time (H1B or otherwise).

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Curana Health Website LinkedIn All Job Openings 1001 - 5000 employees 🏥 Healthcare 🤝 B2B ⚕️ Healthcare Insurance Healthcare
B2B
Healthcare Insurance Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships. Provider Data Specialist 🔥 13 minutes ago 🇺🇸 United States – Remote ⏰ Full Time 🟡 Mid-level 🟠 Senior ✨ Data Specialist 👻 Ghost score 10% Apply Now Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Maintain and update provider information within Provider Data Management systems
Verify provider data from external sources, including provider applications and credentialing teams, and update systems accordingly
Coordinate with internal and external partners to obtain missing or incomplete data and ensure regulatory compliance
Monitor data quality and accuracy, identifying and correcting discrepancies
Respond to inquiries from internal and external stakeholders regarding provider data
Generate reports to track data accuracy, completeness, and timeliness
Collaborate with claims, customer service, and network management teams to resolve provider issues
Assist with audits and data verification to ensure compliance with industry standards
Provide training and support to internal teams on provider data management systems and processes
Stay current with industry standards, regulatory requirements, and best practices in provider data management 🎯 Requirements
High school diploma or equivalent required
3+ years in provider data management, healthcare administration, or a related field
Familiarity with healthcare provider directories, claims processing, and credentialing a plus
Proficient in data management software, Microsoft Excel, and Microsoft Office
Experience with NPPES and similar tools
Knowledge of NCQA or CMS regulations a plus
Strong attention to detail and analytical thinking
Excellent written and verbal communication
Ability to work independently and collaboratively
Strong organizational and time management skills
Problem-solving and critical thinking ability
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