Provider Data Management Specialist – Enrollment

🔥 5 minutes ago

🌐 Egypt, United States – Remote

🇪🇬 Egypt – Remote 🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

✨ Provider Enrollment Specialist

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sutherland

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1986

🏥 Healthcare

🛡️ Insurance

✈️ Travel

💰 $300M Secondary Market on 2014-10

Healthcare • Insurance • Travel

Sutherland is a global company specializing in digital transformation and business process outsourcing services. They leverage advanced technologies such as Artificial Intelligence, automation, and cloud engineering to drive digital performance and optimize critical business operations. Sutherland offers a variety of services including digital CX, enterprise technology solutions, and intelligent automation across multiple industries such as banking, healthcare, and telecommunications. Their focus is on delivering measurable outcomes, enhancing customer experiences, and enabling business agility through innovative digital solutions.

📋 Description

• Enter, update, and maintain provider information in internal health plan systems • Validate provider credentialing data, contracts, and demographic information • Ensure provider records comply with CMS, HIPAA, and state/federal regulations • Conduct routine audits and reconciliations to maintain data integrity • Review and load required data into the health plan system according to process guidelines • Manage and monitor daily activities and meet set targets • Work independently and complete tasks within established timeframes with minimal supervision • Prioritize and complete all job duties • Adhere to changes based on department and/or business requirements

🎯 Requirements

• Strong written communication skills in English with clarity and accuracy • Strong reading and listening comprehension skills in English • Well-developed analytical, logical, and organizational abilities • Ability to prioritize tasks and process intakes accurately and timely • Keen attention to detail and ability to multitask in a fast-paced environment • Strong customer focus • Proficiency in Microsoft Office Suite • Experience navigating web-based applications • Typing speed of at least 40 words per minute with accuracy and efficiency • Excellent internet connectivity, hard-wired • Productive, secure, and distraction-free work environment

🏖️ Benefits

• Employees can work remotely • Excellent internet connectivity, hard-wired • Productive and secure work environment, distraction-free • EEO and legally protected status protections • Confidential handling of employment information