[Remote] Provider Data Management Specialist

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Sutherland is seeking a Provider Data Management (PDM) Specialist to oversee and maintain accurate provider records within their health plan systems. This role involves entering and updating provider data while ensuring compliance with policies and regulations. Responsibilities Accurately enter, update, and maintain provider information in internal systems Validate provider credentialing data, contracts, and demographic data to ensure accuracy Ensure provider records are in compliance with CMS, HIPAA, and state/federal regulations Conduct routine audits and reconciliations to maintain data integrity Review and load the required data into the health plan system as the process guidelines require Manage and monitor daily activities and meet the set targets Work independently and complete the tasks in established timeframe with minimal supervision Must be able to prioritize and complete all job duty requirements Must be able to adhere to changes based on department and/or business Skills Excellent written communication skills in English with strong clarity and accuracy Strong reading and listening comprehension skills in English to effectively process the requests Well-developed analytical, logical, and organizational abilities for problem-solving Ability to prioritize tasks effectively, ensuring timely and accurate processing of intakes Keen attention to detail with the capability to multitask in a fast-paced environment Strong customer focus, with a passion for delivering exceptional service and support Proficiency in Microsoft Office Suite and experience navigating web-based applications Typing speed of at least 40 words per minute, with accuracy and efficiency Excellent internet connectivity, Hard-Wired Productive and secure work environment, distraction-free Company Overview Sutherland is a digital transformation company that provides business process and technology management services. It was founded in 1986, and is headquartered in Pittsford, New York, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship Sutherland has a track record of offering H1B sponsorships, with 2 in 2025, 3 in 2024, 1 in 2023, 5 in 2022, 7 in 2021, 3 in 2020. Please note that this does not guarantee sponsorship for this specific role.
Apply Now →

Similar Jobs

[Remote] Customer Success Specialist

Remote Full-time

[Remote] AI Data Specialist - Illinois (US)

Remote Full-time

[Remote] Home Inspector (Salary Range $50-$75k)

Remote Full-time

Operations (Data & Revenue)

Remote Full-time

Inside Sales Representative

Remote Full-time

Field Service Engineer 1 – 2nd Shift

Remote Full-time

[Remote] Remote Consulting Specialist - Entry Level

Remote Full-time

Immigration Attorney - EOIR

Remote Full-time

Dunkin Donuts Team Leader

Remote Full-time

[Remote] PUBLIC RELATIONS SPECIALIST

Remote Full-time

**Experienced and Motivated LSAT Tutor Wanted for Remote Opportunity in Idaho Falls, Idaho**

Remote Full-time

Experienced Full-Time and Part-Time Work-at-Home Customer Service Agent – Delivering Exceptional Customer Experiences and Driving Business Growth at blithequark

Remote Full-time

Fedex Data Entry Jobs Fully Remote

Remote Full-time

**Experienced Full Stack Data Entry Specialist – Web & Cloud Application Development**

Remote Full-time

Tutor Poulsbo - Academic Support Specialist for Student Success at Olympic College

Remote Full-time

**Experienced Full Stack Data Entry Professional – Web & Cloud Application Development**

Remote Full-time

Virtual Assistant Career Opportunity at Southwest Airlines - Remote Part-Time Position

Remote Full-time

**Experienced Data Entry Specialist – Live Chat Support for blithequark**

Remote Full-time

Remote Medical Coding Auditor

Remote Full-time

Business Process Analyst, Advisor job at Zebra Technologies in Holtsville, NY, Lincolnshire, IL

Remote Full-time
← Back to Home