Provider Directory Specialist

Benefits

Additional Information

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The Provider Directory Specialist is responsible for maintaining the accuracy, completeness, and integrity of AltaMed's provider directory data across all lines of business. This role ensures provider information is accurate and up to date across multiple systems by performing regular audits, resolving data discrepancies, and validating demographic and credentialing details. This role collaborates closely with Provider Relations, IT, Compliance, and Network Administration teams to support onboarding, regulatory compliance, and operational efficiency. Additionally, the role conducts outreach to provider offices and leverages external data sources to verify credentials and patient access information, supporting both patient experience and organizational objectives. Minimum Requirements A bachelor's degree with 2 years of relevant experience; alternatively, a High School Diploma with 6 years in healthcare, specifically in provider data, network operations, or credentialing. Experience in Centers for Medicare & Medicaid Services (CMS) provider directory compliance requirements, including validation of provider data to ensure accuracy, completeness, and adherence to regulatory standards.

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