Provider Data Integrity Specialist

LSMA Management Inc • San Bernardino, CA

4h

About The Position

The Provider Data Integrity Specialist is responsible for maintaining accurate provider demographic, participation, and contractual data across organizational systems and health plan reporting platforms. This role supports provider onboarding, roster submissions, provider directory accuracy, and system updates to ensure compliance with regulatory, contractual, and operational requirements. The Specialist works closely with Credentialing, Provider Relations, and Health Plan Operations teams to ensure provider data accuracy and support network operations.

Requirements

• High School diploma or equivalent.
• 2+ years of provider data management, credentialing, or healthcare administrative experience.
• Knowledge of provider data management and healthcare systems.
• Proficiency with provider management systems such as EZ Cap, EPIC, or similar.
• Strong attention to detail and accuracy.
• Strong organizational and communication skills.
• Ability to maintain confidentiality and data integrity.
• Ability to manage multiple tasks and meet deadlines.

Nice To Haves

• Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field.
• Experience in MSO, IPA, or health plan environment.

Responsibilities

• Maintaining accurate provider demographic, participation, and contractual data across organizational systems and health plan reporting platforms.
• Supporting provider onboarding, roster submissions, provider directory accuracy, and system updates.
• Ensuring compliance with regulatory, contractual, and operational requirements.
• Working closely with Credentialing, Provider Relations, and Health Plan Operations teams to ensure provider data accuracy and support network operations.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED