Provider Data Management Specialist

Sutherland

. Enter, update, and maintain provider information in internal systems .

Posted 10/27/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates proficiency in managing provider information and ensuring compliance with CMS, HIPAA, and state/federal regulations. Exhibits strong analytical, organizational, and communication skills to maintain data integrity and meet established targets effectively.

Highest-signal resume keywords

Provider Information ManagementCMS ComplianceHIPAA ComplianceMicrosoft Office Suite ProficiencyData Integrity Audits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryCredentialing ValidationTyping Speed of 40 Words Per MinuteWeb-Based Application NavigationData Loading

Soft Skills

Excellent Written CommunicationStrong Customer FocusAttention to DetailOrganizational AbilitiesAbility to Multitask

Industry Keywords

Provider RecordsData ComplianceRoutine AuditsFast-Paced EnvironmentIndependent Work

About the role

Key responsibilities & impact

Enter, update, and maintain provider information in internal systems
Validate provider credentialing data, contracts, and demographic information
Ensure provider records comply with CMS, HIPAA, and state/federal regulations
Conduct routine audits and reconciliations to maintain data integrity
Review and load required data into the health plan system according to process guidelines
Manage and monitor daily activities and meet established targets
Complete tasks within established timeframes with minimal supervision
Prioritize and complete all job duties
Adapt to changes based on department and business requirements

Requirements

What you’ll need

Excellent written communication skills in English with strong clarity and accuracy
Strong reading and listening comprehension skills in English
Well-developed analytical, logical, and organizational abilities
Ability to prioritize tasks effectively and process intakes accurately and timely
Keen attention to detail and ability to multitask in a fast-paced environment
Strong customer focus
Proficiency in Microsoft Office Suite
Experience navigating web-based applications
Typing speed of at least 40 words per minute with accuracy and efficiency
Excellent internet connectivity with a hard-wired connection
Productive, secure, and distraction-free work environment
Ability to work independently with minimal supervision
Ability to comply with CMS, HIPAA, and state/federal regulations

Benefits

Comp & perks

Remote work options
Confidential handling of employee information according to EEO guidelines
Equal employment opportunity and nondiscrimination protections
Productive and secure work environment requirements