Are you detail-oriented and passionate about data accuracy in healthcare? Versant Health is seeking a Provider Data Specialist to manage and maintain provider, office, and payee information for our national vision care network of 80,000+ practitioners.
About Versant Health
Versant Health is one of the nation’s top administrators of managed vision care, serving millions of members nationwide. Our mission is to help people enjoy the wonders of sight through healthy eyes. We offer associates comprehensive rewards—including medical, dental, and vision coverage, tuition reimbursement, 401(k) with company match, pet insurance, and career advancement opportunities.
Schedule
- Full-time
- Remote (with preference for candidates in Baltimore, MD or Albany, NY)
- Standard weekday business hours
What You’ll Do
- Add, update, and terminate provider, office, and payee records across multiple data systems
- Conduct audits and ensure compliance with CMS Provider Directory regulations
- Manage provider group and retailer data, ensuring accurate claims processing and directory listings
- Support claims teams by resolving “Provider Pick” and “Provider Contract” claim queues
- Validate payee information using IRS standards and Tax ID verification
- Educate providers on the importance of accurate data and assist with updates
- Collaborate with internal teams on provider directory integrity and data improvement projects
- Conduct provider outreach via phone and email to verify data accuracy
- Participate in audits, peer reviews, and IT-related projects impacting provider databases
What You Need
- 4–5 years of experience in managed care within Provider Data Management, Credentialing, Network Management, or Provider Relations
- Associate or Bachelor’s degree preferred (or equivalent experience)
- Strong knowledge of CMS Provider Directory regulations
- Experience handling PHI/PII with discretion and HIPAA compliance
- Proficiency with Microsoft Office (Excel, Word, Access, PowerPoint)
- Strong communication, organizational, and data management skills
Benefits
- $20.00–$22.50 per hour
- Full health, dental, and vision coverage (vision free for you and eligible dependents)
- 401(k) with company match
- Tuition reimbursement and career development programs
- Pet insurance and wellness perks
- Opportunities for advancement within a diverse, inclusive workplace
Join a mission-driven company where accurate provider data makes a real difference for millions of members.
Happy Hunting,
~Two Chicks…