Provider Coordinator

Overview

Remote
On Site
Hybrid
BASED ON EXPERIENCE
Contract - Independent
Contract - W2
Contract - 5+ mo(s)

Skills

MANAGED CARE
PROVIDER DATA
SHAREPOINT
SALESFORCE

Job Details

Provider Coordinator

Location

Fully Remote (U.S.)

Candidates must reside in one of the following approved ***** Healthcare states:

Arizona (AZ), Florida (FL), Georgia (GA), Idaho (ID), Iowa (IA), Kentucky (KY), Michigan (MI), Nebraska (NE), New Mexico (NM), Ohio (OH), Texas (TX), Vermont (VT), Wisconsin (WI), New York (NY)

Work Schedule

Monday - Friday
8:00 AM - 5:00 PM (aligned to the employee s local time zone: EST, CST, MST, or PST)

Position Overview

The Provider Data Operations Analyst supports provider data accuracy and operational workflows within a managed care environment. This role is responsible for ticket intake, provider data research, reporting, and system support to ensure provider records align with Medicaid, Medicare, and internal compliance requirements.

Key Responsibilities

  • Intake, triage, and resolve issue tickets related to provider enrollment, credentialing, contracting, and provider data systems

  • Research provider credentialing and enrollment issues and update records accordingly

  • Process and validate reports related to provider data quality and operational accuracy

  • Perform high-volume data entry and maintenance within SharePoint and related systems

  • Assist with User Acceptance Testing (UAT) for system enhancements and software updates

  • Identify trends, root causes, and recurring issues; escalate risks and defects with clear documentation and business impact

  • Navigate multiple systems simultaneously, including ticketing tools, provider portals, spreadsheets, and document repositories

  • Provide operational and administrative support, including meeting coordination, note-taking, action-item tracking, and follow-ups

  • Serve as a primary point of contact for internal users, translating technical issues into business-friendly communication

  • Maintain strict attention to detail and confidentiality when handling sensitive provider data in compliance with HIPAA and data governance standards

Required Skills & Qualifications

  • Provider data entry and data quality management

  • Ticket intake, triage, and issue resolution within healthcare systems

  • Experience working across multiple systems and tools simultaneously

  • Strong analytical, documentation, and problem-solving skills

  • Excellent time management and prioritization in a high-volume environment

  • Strong communication and stakeholder support skills

  • High attention to detail and confidentiality handling sensitive data

Preferred Tools & Systems

  • Salesforce (preferred)

  • Jira, ServiceNow, or similar ticketing platforms

  • SharePoint and Microsoft Office (Excel, Outlook)

Required Experience

  • 2+ years of experience in managed care

  • Preferred experience in Provider Claims and/or Provider Network Administration

Education

  • Bachelor s degree preferred

  • Equivalent combination of education and relevant experience will be considered

Technology & Equipment

  • Company-issued laptop

  • Docking station

  • 1-2 monitors

  • Network access required (no additional equipment required)

Business Lines Supported

  • Medicaid

  • Medicare

  • DSNP

  • MMP

  • Marketplace

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.