Provider Network Data Maintenance Associate

PacificSource Health Plans

. Enter and update provider demographic, credentialing, and contract information in PacificSource systems .

Posted 10/30/2026full-timeRemote • Missouri • United StatesJuniorMid-Level💰 $35,543 - $56,869 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider data management, including data entry, auditing for compliance, and maintaining accurate records. Proficient in healthcare regulatory requirements and effective communication with providers and internal teams.

Highest-signal resume keywords

Provider Data ManagementData Entry SkillsHealthcare Regulatory ComplianceEffective CommunicationMedical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryData AuditingCPT CodingICD-10 CodingHealthcare Data ManagementProvider CredentialingContracting ProcessesData AnalysisTyping Skills10-Key Skills

Soft Skills

Effective Written CommunicationOral CommunicationCollaborationProblem-SolvingAttention to Detail

Tools & Technologies

PacificSource SystemsCompliance-Approved ToolsDatabasesOffice Software

Industry Keywords

Provider RelationsContracting ComplianceHIPAA ComplianceMedicare EligibilityMedicaid Eligibility

About the role

Key responsibilities & impact

Enter and update provider demographic, credentialing, and contract information in PacificSource systems
Process provider additions, terminations, and changes to maintain data integrity and accurate contract rows for claims payments
Audit provider data for accuracy, compliance, internal standards, and regulatory requirements
Assist with provider directory management
Verify licensure, Medicare, and Medicaid eligibility using compliance-approved tools
Monitor and maintain provider records for organizational and contracting compliance
Collaborate with Provider Relations, Credentialing, Contracting, and other internal teams to resolve provider data issues
Research and respond to detailed provider inquiries routed from customer/provider service departments
Communicate with providers to obtain documentation or clarify data discrepancies
Support team members and provider network operations
Identify process improvements and contribute to quality assurance initiatives
Assist in developing and implementing provider data entry and maintenance best practices
Participate in projects involving provider network expansion, system upgrades, or regulatory changes
Maintain positive working relationships with team members and departments
Meet department and company performance and attendance expectations
Follow PacificSource privacy policy and HIPAA requirements
Perform other duties as assigned

Requirements

What you’ll need

Minimum of 2 years of experience in an office environment
High School Diploma or equivalent required
Fast and accurate data entry skills
Ability to learn and be trained on new systems, databases, and applications
Effective written and oral communication
Proficient computer skills, typing, and 10-key required
Ability to read and comprehend both written and spoken English
Ability to communicate clearly and effectively
Medical terminology and CPT/ICD-10 coding preferred
Preferred experience in healthcare data management, network operations, or data analysis
Preferred familiarity with provider credentialing, healthcare regulatory requirements, contracting, or reimbursement processes
Work inside in a general office setting with ergonomically configured equipment
Travel may be required 5% of the time for training and/or external meetings
Must follow privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information

Benefits

Comp & perks

Work-from-home location (WFH: MO)
Training and/or external meeting opportunities
Equal opportunity employment
At-will employment