Jobs in the United States

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Added 1 min ago
Patient Access Associate
HMSL - Houston Methodist Sugar Land Hospital - Methodist Health Centers
United States
At Houston Methodist, the Patient Access Associate position is responsible for obtaining and entering accurate demographic and insurance information in the electronic health record (EHR) on…
Added 1 min ago
Executive Assistant
Mars
Chicago, IL
Associate's degree in related fields or Bachelor’s degree preferred
Added 2 mins ago
UO
Assistant Director, Evaluation (ADMISSIONS RECRMT SPEC 3 SV)
University of California, Davis
CA
- $65,100 USD / year
Under general supervision of the Director and Associate Director, recruit and provide undergraduate admissions advising for domestic resident and non-resident prospective, admitted, and…
Added 2 mins ago
Project Controls Specialist (ENS RE Ops Capital)
DTE Energy
Detroit, MI
Supports project team and estimating/scheduling personnel efforts toward the development of the project plan and translating the project plan into the project estimate/schedule.
Added 3 mins ago
Senior Director, Transfer Pricing
Becton, Dickinson and Company
United States
· Provide senior oversight of factual development, economic analyses, information requests, audit responses and defense of BD's transfer pricing positions.
Added 4 mins ago
J
Sales Associate
J.Jill
Lafayette, LA
- $12 USD / hour
Generous associate discount and career development opportunities.
Added 4 mins ago
J
Sales Associate
J.Jill
Germantown, TN
- $12 USD / hour
Generous associate discount and career development opportunities.
Added 5 mins ago
Plant Manager, WI Cast Iron
Kohler Co.
KOHLER, WI
Production Planning and Delivery: Establish monthly and annual production plans for a complex production process, including dependencies across manufacturing units and support functions.…
Added 5 mins ago
AI
Equity Research Associate (Toronto or Boston)
AGF Investments Inc.
Boston, MA
- $85,000 to $120,000 CAD / year
The Equity Research Associate supports analysts and portfolio managers through fundamental company and industry research, financial modelling and valuation analysis. The Associate…
Added 6 mins ago
VP, IRM Business Strategy and Growth
MVW Services Corporation
United States
Lead business process and operating model improvements that simplify operations, eliminate inefficiencies, improve productivity, and strengthen financial performance.
Added 6 mins ago
Registered Nurse - Med Surg
Duke Health
Mooresville, NC
Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use…
Added 6 mins ago
New Business Developer - Mrytle Beach, Florence
Sysco Columbia, LLC
United States
Works with the regional sales leaders on the development of a comprehensive business development strategy
Added 8 mins ago
RN - Family Birthing Center - Sign On Up To $7500
Presbyterian System Services
United States
Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
Added 8 mins ago
GF
Part Time Store Associate
Gordon Food Service Store LLC
Cincinnati, OH
- $13 to $15 USD / hour
- Part-time
Advancement - High internal promotion rate and development programs available!
Added 8 mins ago
BH
Child Care Teacher
Bright Horizons Family Solutions
Redmond, WA
- $22.25 to $27.15 USD / hour
College-level coursework in early childhood education, CDA, or an associate or bachelor’s degree in early education or related field is preferred
Added 8 mins ago
BH
Associate Teacher
Bright Horizons Family Solutions
Washington, DC
- $23.52 to $26.09 USD / hour
CDA, Associate, or bachelor’s degree in early education or related field is preferred
Added 8 mins ago
BH
Early Childhood Teacher
Bright Horizons Family Solutions
Chevy Chase, MD
- $21.25 to $25.95 USD / hour
College-level coursework in early childhood education, CDA, or an associate or bachelor’s degree in early education or related field is preferred
Added 8 mins ago
BH
Child Care Teacher
Bright Horizons Family Solutions
Pendleton, SC
- $17.25 to $21.05 USD / hour
College-level coursework in early childhood education, CDA, or an associate or bachelor’s degree in early education or related field is required
Added 8 mins ago
BH
Child Care Teacher
Bright Horizons Family Solutions
Lehi, UT
- $16.1 to $21.7 USD / hour
College-level coursework in early childhood education, CDA, or an associate or bachelor’s degree in early education or related field is preferred
Added 9 mins ago
Automotive Wholesale Team Lead
Carvana
Oklahoma City, OK
Lead Associate Director, Area Manager and Operations Manager site visits and keep leaders up to speed on any changes occurring at the site level.
Added 10 mins ago
Sr Director of Family Wealth
Columbia Bank
Phoenix, AZ
Participate in the Investment Committee's manager approval and ongoing monitoring process.
Added 10 mins ago
MX
Inventory Control Specialist
Module X Solutions
Shreveport, LA
- $60,000 to $75,000 USD / year
…purpose-built kitting carts aligned to each step of the assembly process, ensuring warehouse delivers dunnage-free, production-ready kits to support efficient line-side…
Added 11 mins ago
Mission Assurance Analyst II
Chronos Operations, LLC
Redstone Arsenal, AL
…business climate? Are you looking for a career where professional development is embedded in your employer’s core culture? If so, Chenega Military, Intelligence & Operations Support (MIOS)…
Added 11 mins ago
Technology Consulting Microsoft Dynamics Director
Protiviti Inc.
United States
You have an inherent interest in project management and team leadership. You seek new ways to create extraordinary development opportunities and ways for your team to make an impact on our…
Added 12 mins ago
Super Day - Business Operations Associate (Rotational Program)
Perpay - Career's Page
Philadelphia, PA
…professional network. You’ll play an integral role in shaping product development and process improvements, acting as a liaison between customers and internal teams. Throughout your…

PacificSource

Provider Network Data Maintenance Associate

Boise, ID, United States

$35,542.81 - $56,868.50 Our Values We live and breathe our values.

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Job details

Pay: $35,542.81 - $56,868.50 Our Values We live and breathe our values.
Posting language: English
Posted: Oct 30, 2026

Original job description

Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.

The Provider Network Maintenance Associate is responsible for maintaining the accuracy and integrity of provider data within the organization's systems. This role involves updating provider records, ensuring compliance with all regulatory requirements, and supporting Provider Network Operations by managing data related to provider contracts, reimbursements, and credentialing. The Associate will work closely with various teams, including Provider Relations, Provider Reimbursement Analytics, Provider Network Credentialing and Compliance, to ensure that provider information is up-to-date and accurate, which is critical for smooth operations and timely reimbursements.

Essential Responsibilities:

Accurately and promptly enter and update provider demographic, credentialing, and contract information in PacificSource systems for new and re-credentialed network providers, meeting department service level expectations.
Process provider additions, terminations, and changes in a timely manner to maintain data integrity and ensure accurate contract rows are added for correct claims payments.
Perform regular audits of provider data to ensure accuracy, compliance with internal standards, regulatory requirements, and support ongoing maintenance and data integrity of provider information.
Assist in the management of provider directories, ensuring they are current, accurate, and meet the needs of members.
Verify licensure, Medicare, and Medicaid eligibility using compliance-approved tools, ensuring provider data meets all regulatory and accreditation standards, including state and federal requirements.
Support the monitoring and maintenance of provider records for compliance with organizational policies, procedures, and contracting regulations.
Collaborate with Provider Relations, Credentialing, Contracting, and other internal teams to resolve provider data issues, and research and respond to detailed provider inquiry issues routed from customer/provider service departments.
Communicate with providers to obtain necessary documentation or clarify discrepancies in data, ensuring positive and effective working relationships.
Provide support and assistance to other team members as needed to ensure the overall effectiveness of the provider network operations.
Identify opportunities for process improvements related to provider data management, maintenance, and contribute to quality assurance initiatives to continuously improve data accuracy and process efficiency.
Assist in the development and implementation of best practices for provider data entry and maintenance, and participate in projects related to provider network expansion, system upgrades, or regulatory changes.
Maintain positive and effective working relationships with team members and other departments.

Supporting Responsibilities:

Meet department and company performance and attendance expectations, maintaining a high level of data accuracy and productivity.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned, contributing to the overall success of the Provider Network Department.

SUCCESS PROFILE

Work Experience: A minimum of 2 years of experience in an office environment is required, preferred experience in healthcare data management, network operations or data analysis. Preferred familiarity with provider network operations included, but not limited to, provider credentialing, healthcare regulatory requirements, contracting or reimbursement processes.

Education, Certificates, Licenses: High School Diploma or equivalent required, Associate’s or Bachelor’s degree preferred.

Knowledge: Fast and accurate data entry skills. Self-motivated. Able to learn and be trained on new systems, databases, and applications Effective written and oral communication. Proficient computer skills, typing, and 10-key required. Medical terminology, CPT/ICD-10 coding preferred.

Competencies:

Adaptability Building Customer Loyalty Building Strategic Work Relationships Building Trust Continuous Improvement Contributing to Team Success Planning and Organizing Work Standards

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel may be required 5% of the time for training and/or external meetings.

Skills:

Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.

Base Range:

$35,542.81 - $56,868.50 Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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