FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Provider Data Representative
General Dynamics Information Technology. Maintain accurate provider directory data .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in maintaining provider directory data, resolving discrepancies, and ensuring compliance with healthcare data standards. Proficient in data validation, workflow management, and cross-functional collaboration to enhance operational efficiency.
Highest-signal resume keywords
Provider Data ManagementCredentialing ExperienceData ValidationMicrosoft Excel ProficiencyAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider Directory MaintenanceData ReconciliationClaims AdjudicationWorkflow ManagementData Quality Metrics
Soft Skills
Attention to DetailCommunication SkillsProblem-Solving
Tools & Technologies
Provider PortalsEnrollment SystemsEnterprise Provider Data Platforms
Industry Keywords
Healthcare Data StandardsFederal Healthcare ProgramsRegulatory Requirements
About the role
Key responsibilities & impact- Maintain accurate provider directory data
- Resolve issues arising from directory discrepancies
- Process provider demographic changes, additions, terminations, and updates within service-level expectations
- Reduce backlog and improve turnaround time through efficient workflow management
- Validate and maintain NPIs, TINs, specialties, practice locations, affiliations, licensure, and EFT data
- Identify and reduce claims-impacting data errors and support audit readiness
- Reconcile provider rosters against credentialing, enrollment, claims, and directory systems
- Coordinate correction of participation and claims-payment discrepancies with cross-functional teams
- Validate provider demographic data for onboarding, credentialing, and recredentialing
- Resolve participation or enrollment inconsistencies
- Identify data issues impacting claims adjudication, reimbursement, or provider participation
- Partner with Claims Operations on discrepancy resolution and root-cause analysis
- Generate dashboards, productivity logs, discrepancy reports, and data quality metrics
- Track turnaround times, accuracy rates, and productivity and provide leadership insights
- Communicate data requirements, corrections, and discrepancies to credentialing, enrollment, and provider relations teams
- Maintain documentation supporting provider updates and operational workflows
- Recommend workflow enhancements, automation opportunities, and system updates
- Support implementation of new tools, templates, and operational processes
Requirements
What you’ll need- 3+ years of experience in provider data, credentialing, enrollment, or health plan operations
- Strong analytical skills
- Proficiency in Microsoft Excel
- Exceptional attention to detail and accuracy
- Bachelor’s degree preferred
- Experience supporting federal or government-sponsored healthcare programs preferred
- Knowledge of provider directory regulatory requirements and healthcare data standards preferred
- Experience with provider portals, enrollment systems, or enterprise provider data platforms preferred
- US Citizenship Required: No
- Travel required: Less than 10%
Benefits
Comp & perks- Full-flex work week
- 401K with company match
- Comprehensive health and wellness packages
- Internal mobility team
- Professional growth opportunities including paid education and certifications
- Cutting-edge technology you can learn from
- Paid vacation and holidays
- Medical plan options, including some with Health Savings Accounts
- Dental plan options
- Vision plan
- Paid sick and personal time
- Paid parental, military, bereavement, and jury duty leave
- Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees
- Short- and long-term disability benefits
- Life insurance
- Accidental death and dismemberment insurance
- Personal accident insurance
- Critical illness insurance
- Business travel and accident insurance