Provider Data Management BLRCHN
Provider Data Management BLRCHN
Posted on :
05-04-2025
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1 Vacancy
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Job Description
Provider Data Management Specialist
Responsibilities:
- Collecting and ingesting provider data from various sources such as electronic health records provider portals and payer systems ensuring data quality through validation checks.
- Cleansing and standardizing provider data to ensure accuracy and consistency in data formats addressing duplicate records.
- Implementing and enforcing data governance policies to maintain data integrity and compliance with industry regulations (HIPAA etc..
- Managing a centralized repository of provider information including demographics practice details and credentialing data acting as a single source of truth.
- Mapping provider data to different system formats based on client requirements ensuring seamless data integration across platforms.
- Monitoring data quality metrics to identify and address data issues proactively.
- Managing updates to provider data due to practice changes new provider onboarding or regulatory updates.
- Generating reports on provider data quality identifying trends and providing insights to stakeholders.
- Collaborating with internal teams like IT healthcare operations and compliance to ensure smooth data management processes.
Required Skills and Experience:
- Strong understanding of healthcare provider data standards (NPI UPIN etc. and regulations (HIPAA).
- Expertise in data management tools and techniques (data cleansing validation deduplication).
- Experience with healthcare provider data management systems (PDM systems).
- Proficiency in data analysis and reporting.
- Excellent communication and collaboration skills.
- Programming knowledge (SQL Python) could be beneficial depending on the role.
Employment Type
Full-Time
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