Provider Data Management Specialist – Enrollment

Sutherland

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

Posted 9/28/2026full-timeRemote • United States, EgyptMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in provider information management, ensuring compliance with CMS, HIPAA, and state/federal regulations while maintaining data integrity through audits and reconciliations. Strong analytical and organizational skills are essential for prioritizing tasks and meeting targets in a fast-paced environment.

Highest-signal resume keywords

Provider Information ManagementData Compliance and IntegrityAnalytical and Organizational SkillsMicrosoft Office Suite ProficiencyCustomer Focus

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ValidationCredentialing Data ManagementRoutine AuditsTyping Speed of 40 Words Per MinuteWeb-Based Application Navigation

Soft Skills

Excellent Written CommunicationStrong Reading and Listening ComprehensionAttention to DetailAbility to MultitaskStrong Customer Focus

Tools & Technologies

Health Plan SystemMicrosoft Office Suite

Industry Keywords

CMS ComplianceHIPAA ComplianceState and Federal Regulations

About the role

Key responsibilities & impact

Enter, update, and maintain provider information in internal systems
Validate provider credentialing data, contracts, and demographic data
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 set targets
Work independently and complete tasks within established timeframes with minimal supervision
Prioritize and complete all job duties
Adhere to changes based on department and/or 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, hard-wired
Productive and secure work environment, distraction-free

Benefits

Comp & perks

Employees can work remotely
Excellent internet connectivity, hard-wired
Productive and secure work environment, distraction-free
Confidential handling of employee information according to EEO guidelines