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Full-time
Posted 24d ago
~40 hrs/week
Remote in Dallas, Texas, United States
Responsibilities
Oversee and maintain accurate provider records and demographic information within health plan systems. Ensure all data is compliant with CMS, HIPAA, and state/federal regulations through routine audits and reconciliations.
Requirements
Candidates must have strong analytical skills, proficiency in Microsoft Office, and a typing speed of at least 40 wpm. A secure, distraction-free home work environment with hard-wired internet connectivity is required.
Full job description
Company Description
We are seeking a Provider Data Management (PDM) Specialist to oversee and maintain accurate provider records within our health plan systems. This role involves entering and updating provider data and demographic information in internal systems, while ensuring accuracy and compliance with policies and regulations. The ideal candidate should possess strong attention to detail, analytical skills, and experience working with provider networks and healthcare databases.
Job Description
Accurately enter, update, and maintain provider information in internal systems
Validate provider credentialing data, contracts, and demographic data to ensure accuracy
Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations
Conduct routine audits and reconciliations to maintain data integrity.
Review and load the required data into the health plan system as the process guidelines require
Manage and monitor daily activities and meet the set targets
Work independently and complete the tasks in established timeframe with minimal supervision
Must be able to prioritize and complete all job duty requirements
Must be able to adhere to changes based on department and/or business
Qualifications
Excellent written communication skills in English with strong clarity and accuracy
Strong reading and listening comprehension skills in English to effectively process the requests
Well-developed analytical, logical, and organizational abilities for problem-solving
Ability to prioritize tasks effectively, ensuring timely and accurate processing of intakes
Keen attention to detail with the capability to multitask in a fast-paced environment
Strong customer focus, with a passion for delivering exceptional service and support
Proficiency in Microsoft Office Suite and 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.
Additional Information
All your information will be kept confidential according to EEO guidelines.
EEOC and Veteran Documentation During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
Related keywords
Provider Data ManagementPDMCMSHIPAAHealthcare DatabasesProvider NetworksCredentialingData IntegrityHealth Plan SystemsEEO
We are a leading global business and digital transformation partner. We work with iconic brands worldwide.
Industry
IT Services and IT Consulting
Company size
10,001+ employees
Founded
1986
Headquarters
Pittsford (Rochester), NY
LinkedIn followers
1,308,623
Total funding
$330M
We are an AI-led digital transformation company delivering measurable business outcomes. We design, run, and automate the operations we transform — so our AI reaches production and keeps improving.
Offices: 1160 Pittsford-Victor Road, Pittsford (Rochester), NY 14534, US · Total Corporate Center, Triangle Drive cor. 10th Avenue, Bonifacio Triangle, Bonifacio Global City, Taguig, PH · Anillo Periférico, #301. Col. San Jemo, Monterrey, N.L, 64630, MX · Gateway office Parks,, A6, 6th Floor, A1, GF, 5th,6th & 7th , B2 block, # 16, GST Road, Perungalathur,, Chennai, TN 600063, IN · 500 Ouellette Avenue, Windsor, Ontario N9A1B3, CA
IT ServicesTechnologyHealthcareBanking and Financial ServicesInsuranceTravel & EntertainmentTelecomsoftware as a serviceGoogle CloudProcess Consulting
How many Administrative jobs are open in Dallas, TX right now?
There are currently 2,404 open administrative positions in Dallas, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Dallas, TX?
Companies currently hiring include University of Texas Southwestern Medical Center, Dallas County, Methodist Health System, RPM Living, Baylor Scott & White Health, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Dallas, TX?
Yes — 408 of the 2404 open administrative positions offer remote or hybrid work (157 remote, 251 hybrid).
How do I apply for Administrative jobs in Dallas, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.