Sr. Provider Data Maintenance Specialist 30230

Company: Solving IT
Location: Chicago
Posted on: June 27, 2025

Job Description:

One of the largest health insurers in the nation is focused on continuously building an industry-defining, world-class IT capability. Healthcare is forever evolving, especially due to emerging technologies, making this a great experience to add to your resume. Come join their winning team! This contract role as a Sr. Provider Data Maintenance Specialist in Richardson, TX is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. Pay Rate: $21 per hour Responsibilities: • Analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. • Contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. • Supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. • Assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. • Identifying gaps in processes and suggesting process improvement strategies. Job Requirements: • HS Diploma/GED(education verification required) plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry. • Written and verbal communication skills including interpersonal skills. • Skills to develop training materials and act as an advisor to staff • Experience and proficiency inn Microsoft Office software products including analytical tools. • Experience developing reports. Preferred Job Requirements: • Bachelor Degree • Subject Matter Expert for the Professional Provider Credentialing Process • 2 years of experience with current government sponsored health insurance networks • Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics Benefits : Solving IT, a Woman and LGBTQ owned and operated organization is thrilled to provide a comprehensive benefit package to all our W2 employees and their families, regardless of gender. We are proud to offer five diverse health plan options as well as a PPO dental plan through Blue Cross Blue Shield, Term Life/AD&D Insurance, and a 401(k) Savings Plan. Solving IT covers a portion of the health and dental premiums for our employees. As you progress in your professional journey, Solving IT is dedicated to accommodating your evolving preferences and matching you with fulfilling projects. We champion equality and embrace diversity in all its forms. Creating an atmosphere that encourages varied perspectives to collaborate fosters personal development, strengthens team unity, and contributes to the overall success of the organization! Whether you're seeking your next career challenge or aiming to stay abreast of industry trends, Solving IT is committed to supporting your career advancement. We actively encourage applications from all backgrounds and utilize the most up-to-date market insights and compensation data to ensure that you receive not just advice, but the complete Solving IT Experience.

Keywords: Solving IT, Rockford , Sr. Provider Data Maintenance Specialist 30230, Administration, Clerical , Chicago, Illinois