Provider Data Management Specialist 2

Northwest Permanente

. Collect, analyze, validate, interpret, and maintain contracted data elements, provider information, and practitioner demographics .

Posted 10/23/2026full-timePortland • Oregon • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing provider demographic data, ensuring compliance with regulatory standards, and conducting thorough data analysis. Proficient in communicating effectively with providers and internal stakeholders to resolve data discrepancies and improve processes.

Highest-signal resume keywords

Provider Data ManagementData Quality ManagementRegulatory ComplianceData AnalysisMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ManagementData AnalyticsData ReconciliationData ConfigurationData Discrepancy ResolutionContracting ProcessesCredentialing RequirementsNetwork Adequacy ReportingClaims ProcessingRegulatory Standards

Soft Skills

Analytical SkillsProblem-Solving SkillsOrganizational SkillsCommunication Skills

Industry Keywords

NCQACMSProvider InformationPractitioner DemographicsBusiness RulesData ArchitectureAccreditation Standards

About the role

Key responsibilities & impact

Collect, analyze, validate, interpret, and maintain contracted data elements, provider information, and practitioner demographics
Support contracting, claims processing, credentialing, referrals, regulatory compliance, network adequacy reporting, and directory accuracy
Synthesize contract terms, business rules, data architecture, practitioner affiliations, credentialing requirements, and regulatory standards for accurate data configuration
Conduct outreach and follow-up with contracted providers to obtain, clarify, and validate required provider data
Research, document, and resolve provider inquiries, data discrepancies, and complex provider data issues
Communicate requirements and resolution status, educate providers on processes, coordinate with internal stakeholders, and escalate concerns
Validate provider-submitted data through approved verification platforms and internal controls
Contribute to data reconciliation and remediation projects
Research and resolve claims issues related to contracted provider demographic data

Requirements

What you’ll need

Associate degree or equivalent experience in data management or data analytics
3+ years of experience managing provider demographic data
Strong analytical, problem-solving, organizational, and communication skills
Experience with data quality management, regulatory requirements, and provider contracting processes
Proficiency with Microsoft Office and the ability to learn new systems quickly
Preferred: Bachelor's degree in business, healthcare, or a related field
Preferred: 5+ years of provider data management experience
Preferred: Advanced knowledge of applicable laws, regulations, and accreditation standards (e.g., NCQA, CMS)
Preferred: Strong data analysis and process improvement skills
Preferred: Ability to work effectively with providers, leadership, and cross-functional teams

Benefits

Comp & perks

15% employer contribution to retirement programs, including pension
90% employer-paid health plan
Tuition Reimbursement
Child Care Benefits
Flexible Work Schedules
Paid Parental Leave
Self-Care Days + Paid Time Off