Provider Directory Specialist

Reposted 12 Hours Ago
Be an Early Applicant
90640, Montebello, CA, USA
In-Office
25-29 Hourly
Junior
Fitness • Healthtech
The Role
Maintain and audit provider directory data to ensure accuracy and regulatory compliance. Validate provider demographics and credentials, resolve data discrepancies, conduct outreach to provider offices, collaborate with Provider Relations, IT, Compliance, and Network teams, and leverage external sources to support onboarding and patient access.
Summary Generated by Built In

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Provider Directory Specialist is responsible for maintaining the accuracy, completeness, and integrity of AltaMed’s provider directory data across all lines of business. This role ensures provider information is accurate and up to date across multiple systems by performing regular audits, resolving data discrepancies, and validating demographic and credentialing details. This role collaborates closely with Provider Relations, IT, Compliance, and Network Administration teams to support onboarding, regulatory compliance, and operational efficiency. Additionally, the role conducts outreach to provider offices and leverages external data sources to verify credentials and patient access information, supporting both patient experience and organizational objectives.

Minimum Requirements

  • A bachelor’s degree with 2 years of relevant experience; alternatively, a High School Diploma with 6 years in healthcare, specifically in provider data, network operations, or credentialing.

  • Experience in Centers for Medicare & Medicaid Services (CMS) provider directory compliance requirements, including validation of provider data to ensure accuracy, completeness, and adherence to regulatory standards.

Compensation

$25.00 - $29.45 hourly

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days 
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

Skills Required

  • Bachelor's degree (or High School Diploma with equivalent experience)
  • 2 years relevant experience with bachelor's degree (or 6 years healthcare experience with HS diploma)
  • Experience with Centers for Medicare & Medicaid Services (CMS) provider directory compliance requirements
  • Experience in provider data, network operations, or credentialing
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The Company
HQ: Commerce, CA
1,832 Employees
Year Founded: 1986

What We Do

AltaMed is one of the nation’s largest community health networks. For more than 45 years, we have provided care to patients in the diverse neighborhoods of Los Angeles and Orange counties. For health care professionals committed to their patients, communities and careers, AltaMed is an excellent opportunity to pursue professional goals with pride and distinction. AltaMed is a non-profit organization, focused on the needs of our patients and the well-being of our communities. Our commitment to community health compels us to look beyond the walls of our offices and clinics and see not just patients, but new possibilities for community wellness. We have many employees who joined us because their families were AltaMed patients and experienced firsthand that our patients are at the center of all we do. This approach is helping us meet our ambitious goals. We are continually accredited by The Joint Commission (JCAHO), an organization that ensures quality standards in U.S. medical facilities. We’re the first community health network in the nation to have been designated as a Primary Care Medical Home (PCMH). We’re extremely proud of our achievements in patient satisfaction, with our highest scores accomplished during our period of greatest growth. We’ve expanded to 46 Southern California locations, offering primary medical, dental and senior care. We’re active in community outreach and education, and staffed by dedicated professionals committed to patient care. Continuously looking for ways to do more for more people, AltaMed is leading the industry in bringing new people into our nation's health care system as the top enroller for Covered California. As we continue to grow, we remain at the forefront of evolving health care systems, serving patients with comprehensive care throughout their entire lives. And we will build on our reputation as a rewarding long-term decision for both patients and professionals who believe that quality health care is everyone’s right.

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