Roster Data Management Specialist - Remote

UnitedHealth Group•Las Vegas, NV

5h•Remote

About The Position

The Roster Data Management Specialist is responsible for maintaining accurate, timely, and compliant roster data across internal systems and external partners, including payers and regulatory entities. This role serves as the authoritative owner of roster data and plays a critical role in ensuring provider readiness, minimizing claim denials, and supporting operational and financial performance. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

3+ years of experience in provider enrollment, credentialing, roster management, or healthcare operations
Solid understanding of payer enrollment workflows and provider lifecycle management
High attention to detail with experience managing complex datasets
Proficiency with Excel and healthcare platforms such as MD-Staff, CAQH, Availity or any other payer portals

Nice To Haves

Experience supporting multi state provider networks or high volume rosters
Familiarity with CMS, Medicaid, Medicare, and commercial payer requirements
Experience partnering with Revenue Cycle to resolve claim denials
Reporting or dashboard development experience

Responsibilities

Maintain master roster records for providers, facilities, and affiliations
Ensure data consistency across credentialing, enrollment, EHR, and payer systems
Enforce required data standards, naming conventions, and documentation requirements
Conduct routine and ad hoc audits to identify discrepancies, duplicates, or missing data
Maintain version control and audit trails for roster submissions and updates
Prepare, validate, and submit roster files to payers and external entities
Monitor submission status, acknowledgments, approvals, and rejections
Resolve payer feedback related to effective dates, locations, specialties, or network status
Serve as the primary point of contact for payer roster-related inquiries and escalations
Process provider and facility adds, terminations, transfers, and demographic updates
Coordinate effective dates to align with credentialing, contracting, and enrollment milestones
Ensure roster updates are implemented timely to support go-lives and billing activities
Partner with Credentialing, Provider Enrollment, Provider Relations, Revenue Cycle, and Compliance teams
Support claims and billing teams by researching and resolving roster-related denials
Proactively communicate roster risks that may impact revenue, provider activation, or compliance
Manage Provider Data Management Shared Inbox
Create, update and maintain department job aids
Track roster submission cadence, payer SLAs, and resolution timelines
Identify trends, recurring issues, and root causes of roster discrepancies
Develop reports or dashboards to support leadership visibility and decision-making
Recommend process improvements to reduce errors and improve efficiency
Complete reporting requests for internal and external requirements
Ensure roster data complies with payer contracts, CMS requirements, and state regulations
Support internal and external audits by providing documentation, submission history, and reconciliations
Escalate compliance risks related to incomplete or inaccurate roster data