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.
Minimum: High School diploma or equivalent required.
Preferred: Associate’s or Bachelor’s degree in Healthcare Administration, Business Administration, or related field.
Minimum: 2+ years of provider data management, credentialing, or healthcare administrative experience.
Preferred: Experience in MSO, IPA, or health plan environment.
Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position.
None
· 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.
The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. Work is primarily performed in a standard office or hybrid office environment and requires prolonged periods of sitting, frequent use of computers, telephones, and office equipment. The role requires sustained mental concentration, attention to detail, and the ability to review and verify credentialing documentation accurately. Occasional lifting or moving of materials up to approximately 15–20 pounds may be required. This role requires the ability to communicate effectively with providers, staff, and external partners, and to maintain confidentiality of sensitive credentialing information.
$26.00 - $29.00 / hourly
We’ve seen the stress and toll that poor management takes on practices: the rigid policies, the pressure to prioritize volume over patient relationships and clinical judgment, the operational breakdowns that erode trust. A remote bureaucracy that gets in the way of good medicine.
We founded LSMA to chart a different course. Here, partnership means flexibility and responsiveness, not control. And while financial stability and success are essential, we recognize that a thriving practice requires more than simply maximizing margins. We handle the administrative complexity with precision and transparency, so your practice can prosper on your terms.
Leading LSMA is an accomplished team of Inland Empire-based healthcare executives. We invite you to get in touch to talk more.
