Provider Data Specialist

Location: Remote, UNAVAILABLE, US

Employment Type: FULL_TIME

 

At Curana Health, were on a mission to radically improve the health, happiness, and dignity of older adults—and were looking for passionate people to help us do it.

 

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

 

Founded in 2021, weve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

 

Ranked #147 on the Inc. 5000 list of Americas fastest-growing private companies, were just getting started. If youre looking to make a meaningful impact on the senior healthcare landscape, youre in the right place—and we look forward to working with you.

 

For more information about our company, visit CuranaHealth.com.

Summary

The Provider Data Specialist ensures the accuracy, completeness, and timeliness of provider data across our systems. This includes updating provider records, performing data validation, resolving discrepancies, and maintaining the integrity of the provider network. The role requires cross-functional collaboration to resolve issues, support audits, and improve data quality.

Essential Duties & Responsibilities

• Maintain and update provider information within Provider Data Management systems
• Verify provider data from external sources (e.g., provider applications, credentialing teams) and update systems accordingly
• Coordinate with internal and external partners to obtain missing or incomplete data and ensure regulatory compliance
• Monitor data quality and accuracy, identifying and correcting discrepancies
• Respond to inquiries from internal and external stakeholders regarding provider data
• Generate reports to track data accuracy, completeness, and timeliness
• Collaborate with claims, customer service, and network management teams to resolve provider issues
• Assist with audits and data verification to ensure compliance with industry standards
• Provide training and support to internal teams on provider data management systems and processes
• Stay current with industry standards, regulatory requirements, and best practices in provider data management

Qualifications

Education: High school diploma or equivalent required

 

Experience:

• 3+ years in provider data management, healthcare administration, or a related field
• Familiarity with healthcare provider directories, claims processing, and credentialing a plus

Technical Skills:

• Proficient in data management software, Microsoft Excel, and Microsoft Office
• Experience with NPPES and similar tools
• Knowledge of NCQA or CMS regulations a plus

Key Skills:

• Strong attention to detail and analytical thinking
• Excellent written and verbal communication
• Ability to work independently and collaboratively
• Strong organizational and time management skills
• Problem-solving and critical thinking ability