Provider Data Management Specialist

Imagine360 • ,

1d • Remote

About The Position

Imagine360 is seeking a Provider Data Management Specialist to help ensure inbound provider demographic updates for Imagine360 networks are addressed and resolved promptly. The role directly affects the experience of members, providers, and third-party administrators using the company’s core product. It suits candidates who thrive in a fast-paced, repetitive, task-oriented environment and is 100% remote.

The specialist manages inbound provider requests, coordinates updates to provider data systems, responds to physician inquiries, researches and routes provider data and contract documents, and maintains organized document storage. The role also requires professional, service-oriented communication with internal teammates and external doctors. Other duties may be assigned by the Director.

Requirements

• Bachelor’s degree preferred.
• Previous health insurance or network experience preferred.
• Previous provider relations or customer service experience preferred.
• Strong communication skills and ability to navigate challenging conversations.
• Excellent organizational, interpersonal, presentation, facilitation, and communication skills.
• Demonstrated commitment to high professional ethical standards.
• Ability to adapt to a fast-paced, continually changing business and work environment while managing multiple priorities.
• Strong technical, analytical, and troubleshooting skills.
• Excellent follow-through; self-motivated and detail-oriented.
• Strong organizational skills to manage multiple projects, issues, and priorities simultaneously with a high level of attention to detail.
• Proficiency in Microsoft Office, including Word, Excel, and Outlook.
• Proficiency using Salesforce.

Nice To Haves

• Bachelor’s degree.
• Previous health insurance or network experience.
• Previous provider relations or customer service experience.

Responsibilities

• Manage a queue of inbound requests from contracted providers using email and Salesforce.
• Submit requests to update the provider data system with demographic changes, such as new TINs, location changes, provider additions, and terminations.
• Respond promptly to physician inquiries about request status, updates, initial contracting requests, effective dates, and other contract- or provider-related information.
• Research, locate, and promptly assign provider data and contracts to the appropriate team for updates in relevant systems.
• Ensure organized storage of relevant provider documents.
• Communicate effectively, verbally and in writing, with internal teammates and external doctors.
• Foster a service-oriented work environment through a positive attitude and kind, professional treatment of others.
• Perform other duties as assigned by the Director.

Benefits

• Multiple health plan options.
• Company-paid employee premiums for disability and life insurance.
• Parental leave policy.
• 20 days of PTO to start and 10 paid holidays.
• Tuition reimbursement.
• 401(k) company contribution.
• Company-paid short- and long-term disability and life insurance.
• Professional development initiatives and continuous learning opportunities.
• Opportunities to participate in and support the company’s diversity and inclusion initiatives.

What This Job Offers

• Job Type: Full-time