Job Description

Provider Partners Health Plans (Provider Partners) is a Medicare Advantage HMO plan for individuals enrolled in Medicare who reside in long-term care facilities. Provider Partners is truly something new – a Special Needs Plan run by a team of highly experienced long-term care providers that work with physicians, hospitals, and other providers to improve the quality of care and outcomes for its members. Patients and their families appreciate the extra, personalized touch offered in facilitating communication and care delivery among all the providers involved in their care. Provider Partners offers a service product that greatly improves the life of others. We are searching for a results-oriented individual, with a proven track record, who is passionate about our mission and can generate positive outcomes based on that mission. If this is you, come be part of our elite team as a Provider Relations Credentialing Specialist. Reporting to the Manager of Provider Relations, the Provider Relations Credentialing Specialist will play a key role in providing administrative support to the provider management team. As a Provider Relations Data Entry Specialist is responsible for ensuring the timely and accurate processing of roster updates, maintaining current files, and supporting ongoing data integrity initiatives. This role requires strong attention to detail, organizational skills, and the ability to manage multiple tasks while meeting deadlines. Responsibilities in order of priority: Input roster updates for assigned markets within 30 days of receiving them. Maintain the accuracy, organization, and completeness of all current files. Perform routine maintenance and updates on existing information to ensure data integrity. Assist with additional tasks and responsibilities as assigned. Requirements: Strong organizational and communication skills Excellent multi-tasking, prioritizing, and time management skills. Proficiency with computer applications Ability to work independently. High school graduate Additional Notes Must possess a valid driver’s license.