Network Data Specialist I

Elevance Health•Durham, NC

1d•$18 - $28•Hybrid

About The Position

Network Data Specialist Hybrid : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Network Data Specialist is responsible for accurate and timely maintenance of provider information on claims and provider databases. How you will make an impact: Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing. Makes recommendations for improvements to meet customers' expectations.

Requirements

Requires a H.S. diploma or equivalent
basic PC office software
any combination of education and experience, which would provide an equivalent background.

Nice To Haves

1-3 years of experience in claims processing, provider, or credentialing.

Responsibilities

Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
Makes recommendations for improvements to meet customers' expectations.