In this key remote role, you will ensure provider information is accurate, complete, and updated across all health plan systems. Working standard business hours, you will analyze provider enrollment, demographic, affiliation, and termination requests, perform data validation reviews, and process large-scale provider rosters. Provider data serves as the foundation for critical operations—including claims processing, directory accuracy, and member access to care. You will investigate inventory items, conduct root cause analyses to resolve process gaps, and partner closely with Contracting, Credentialing, Configuration, and Network Management teams. If you bring a strong background in Excel, sharp problem-solving skills, and a solid understanding of healthcare or provider data operations, this position offers an exceptional platform to grow your career.
salary: $40.22 - $40.23 per hour
shift: First
work hours: 8 AM - 5 PM
education: Bachelors
Responsibilities
Position Summary:
Analyze and maintain provider demographic, enrollment, and affiliation data across health plan systems, perform root cause analysis on data discrepancies, and support provider directory accuracy.
Key Responsibilities:
- Review, validate, and process provider enrollment, demographic, contract affiliation, and termination requests.
- Process large-scale provider rosters, performing data quality reviews and post-load validations.
- Investigate and resolve aging inventory items, data discrepancies, and operational escalations.
- Identify root causes and process gaps within provider data systems and drive issues through resolution.
- Collaborate cross-functionally with Contracting, Credentialing, Configuration, and Network Management business partners.
- Bachelor’s degree in a related field, or Associate’s degree with 2+ years of healthcare data/operations experience (or equivalent experience).
- 2+ years of experience in provider data management, credentialing, claims processing, billing, or provider relations.
- High technical proficiency and strong systems savvy, including data analysis in MS Excel.
- Proven ability to analyze large datasets, identify root causes, and independently resolve complex data issues.
- Excellent written and verbal communication skills to effectively collaborate with stakeholders.
- Dedicated, private home workspace located in Georgia.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
