Hiring: Provider Data Specialist I Company: CareOregon Location: Portland, OR Job Posted Time: 2026-09-15 11:57:03 Employment Type: Contract Target Skills & Keywords : Credentialing, Microsoft Excel, Microsoft Office, Workday About the job Experience: •1 year of experience with data configuration, data management, credentialing, or claims management •2 years of experience working in health care/insurance •Minimum 1 year of experience with data configuration, data management, credentialing, or claims management Required Skills: •Perform accurate and timely data entry into provider database, following Provider Data policies and procedures. •Provide data management and process knowledge to the organization; assist with projects. •Investigate and resolve provider and provider contract pending claims as requested by more advanced Provider Data staff; apply claims policies and procedures. •Monitor call and email queues by reviewing requests and communicating clearly and timely with contracted provider offices and internal customers; research demographic and affiliations changes; make updates to provider database reflecting new information once validated. •Manage monthly provider rosters received from contracted hospital systems and IPAs by investigating changes and validating information prior to updating QNXT; consult with advanced Provider Data staff to clarify information. •Complete provider database projects resulting from contracting, configuration, or regulatory changes. •Sort incoming faxes, PIVs and distribute according to assignments. •Maintain SharePoint libraries according to unit protocols. Qualifications: •Knowledge, Skills And Abilities Required •General understanding of or ability to learn managed care and Oregon Health Plan concepts •Operational familiarity with Microsoft Office Suite products, especially Excel •Demonstrated capacity to learn and effectively navigate claims processing technologies, such as QNXT and Facets •Demonstrated capacity to learn and effectively navigate document management and collaboration platforms, such as SharePoint and Office 365 •Demonstrated capacity to follow policies and procedures in performing job responsibilities •Demonstrated capacity to develop skills around troubleshooting data integrity issues and root cause •Demonstrated capacity to learn how to author and maintain process documentation •Proficient communication skills, including listening, verbal, written, and customer service Compensation: •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!