Provider Directory Specialist

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Provider Directory Specialist is responsible for maintaining the accuracy, completeness, and integrity of AltaMed’s provider directory data across all lines of business. This role ensures provider information is accurate and up to date across multiple systems by performing regular audits, resolving data discrepancies, and validating demographic and credentialing details. This role collaborates closely with Provider Relations, IT, Compliance, and Network Administration teams to support onboarding, regulatory compliance, and operational efficiency. Additionally, the role conducts outreach to provider offices and leverages external data sources to verify credentials and patient access information, supporting both patient experience and organizational objectives.

Minimum Requirements

• A bachelor’s degree with 2 years of relevant experience; alternatively, a High School Diploma with 6 years in healthcare, specifically in provider data, network operations, or credentialing.

• Experience in Centers for Medicare & Medicaid Services (CMS) provider directory compliance requirements, including validation of provider data to ensure accuracy, completeness, and adherence to regulatory standards.

Compensation

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days 
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.