Provider Network Data Maintenance Associate

PacificSource Health Plans

Provider Network Data Maintenance Associate at PacificSource ensuring provider data accuracy and compliance. Collaborating with multiple teams to support provider network operations.

Posted 7/21/2026full-timeRemote • North Carolina • 🇺🇸 United StatesJuniorMid-Level💰 $35,542 - $56,868 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in provider data management, ensuring accuracy and compliance with regulatory requirements while effectively collaborating with internal teams. Proficient in data entry, auditing, and maintaining provider records to support organizational policies and best practices.

Highest-signal resume keywords

Healthcare Data ManagementData Entry SkillsProvider Data AuditingEffective CommunicationMedical Terminology

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data EntryData AuditingCPT CodingICD-10 CodingData AnalysisProvider CredentialingContract ManagementRegulatory ComplianceData IntegrityProvider Directory Management

Soft Skills

Self-MotivatedEffective Communication

Tools & Technologies

Compliance-Approved ToolsDatabasesPacificSource Systems

Industry Keywords

HealthcareProvider RelationsNetwork OperationsContracting RegulationsMedicareMedicaid

About the role

Key responsibilities & impact

Accurately and promptly enter and update provider demographic, credentialing, and contract information in PacificSource systems for new and re-credentialed network providers
Process provider additions, terminations, and changes in a timely manner to maintain data integrity and ensure accurate contract rows are added for correct claims payments
Perform regular audits of provider data to ensure accuracy, compliance with internal standards, regulatory requirements, and support ongoing maintenance and data integrity of provider information
Assist in the management of provider directories, ensuring they are current, accurate, and meet the needs of members
Verify licensure, Medicare, and Medicaid eligibility using compliance-approved tools
Support the monitoring and maintenance of provider records for compliance with organizational policies, procedures, and contracting regulations
Collaborate with Provider Relations, Credentialing, Contracting, and other internal teams to resolve provider data issues
Communicate with providers to obtain necessary documentation or clarify discrepancies in data
Provide support and assistance to other team members as needed
Identify opportunities for process improvements related to provider data management
Assist in the development and implementation of best practices for provider data entry and maintenance

Requirements

What you’ll need

A minimum of 2 years of experience in an office environment is required
Preferred experience in healthcare data management, network operations or data analysis
High School Diploma or equivalent required, Associate’s or Bachelor’s degree preferred
Fast and accurate data entry skills
Self-motivated
Able to learn and be trained on new systems, databases, and applications
Effective written and oral communication
Proficient computer skills, typing, and 10-key required
Medical terminology, CPT/ICD-10 coding preferred

Benefits

Comp & perks

Flexible telecommute policy
Medical, vision, and dental insurance
Incentive program
Paid time off and holidays
401(k) plan
Volunteer opportunities
Tuition reimbursement and training
Life insurance
Options such as a flexible spending account