Provider Data Specialist_ Provider Network

Provider Data Specialist
Provider Data Specialist
Who are we?
Versant Health is one of the nation’s leading administrators of managed vision care, serving millions of our clients’ members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.
As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.
See how you can make a difference with the support of strong leadership and a team environment.
See Everything, Be Anything™.
What are we looking for?
Responsible for various provider data activities related to Provider Network Operations, including but not limited to the maintenance and troubleshooting of provider network databases integrity-related activities.
Where you will have an impact:

• Conduct audits and provide feedback to reduce errors and improve processes and performance, maintaining current provider data to ensure the quality of the network, and may be responsible for representing the provider network area on department related IT projects
• Maintain database integrity and coordinate corrective activities to clean the provider databases
• Peer review of database revisions to meet Quality Check requirements
• Maintain the most current provider data to ensure the data quality of the network and provider directories.
• Develop and maintain standards for database integrity and quality assurance.
• Maintain provider databases with accuracy
• Initiate and/or support database improvements and communication processes as needed with other departments regarding database improvements
• Other duties as assigned
• Contact assigned provider and validate required data elements via phone, fax or email

What’s necessary to do the job?

• Experience working with provider networks and healthcare providers
• Ability to use MS Word to create and edit documents
• High school graduate, Bachelor's Degree preferred
• Previous experience in running a wide variety of Geo Access and/or Quest Analytics reports is preferred
• Ability to use MS Excel and Access to manage work items and manipulate data, preferred
• One to three (3) years of data entry experience
• One to three (3) years of experience working with claims and/or provider demographic information
• Two years of experience in the health care or health insurance field is required

HIPAA & Security Requirements
All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company’s Privacy & Security Training Program.
Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.
Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.
The wage range for applicants for this position is [$39,520 to $43,680].
All incentives and benefits are subject to the applicable plan terms.