Remote Network Provider Data Specialist – Healthcare Data Management, Reimbursement Accuracy, and Directory Integrity

About brighthush

brighthush is a leading innovator in healthcare information services, delivering cutting‑edge case management, clinical software, and auto‑physical damage solutions to providers, payers, and patients across the United States. With a legacy that dates back to 1946, brighthush has grown into a vibrant organization of more than 8,000 employees, headquartered in San Diego, California. Our mission is simple: empower the healthcare ecosystem with reliable, accurate data that drives better outcomes, reduces administrative burden, and ensures fair reimbursement for every provider.

As a remote‑first company, brighthush embraces flexibility, collaboration, and continuous learning. We believe that a diverse, inclusive, and supportive work environment fuels innovation and enables our teams to deliver world‑class solutions to our clients. If you are passionate about data integrity, provider relationships, and making a tangible impact on the healthcare industry, brighthush is the place for you.

Why This Role Matters

In the complex world of healthcare reimbursement, accurate provider data is the linchpin that keeps the entire system running smoothly. The Remote Network Provider Data Specialist will be the guardian of this critical information, ensuring that every provider profile is complete, up‑to‑date, and compliant with regulatory standards. Your work will directly influence reimbursement accuracy, directory listings, and the overall quality of care delivered to patients.

Key Responsibilities

• Maintain Provider Data Integrity: Continuously update and verify provider information for all network partners, ensuring that every record reflects the latest credentials, specialties, and contact details.
• Data Accuracy for Reimbursement: Validate that provider data is correctly captured to support accurate claim processing and reimbursement calculations.
• System Update Verification: Review and test system updates, confirming that new data loads are complete and error‑free.
• Identify and Resolve Data Gaps: Detect missing or incomplete information during data load processes and initiate corrective actions.
• Manual Data Support: Provide hands‑on assistance for baseline provider transactions that cannot be automated due to system constraints or data integrity issues.
• Provider Outreach: Conduct phone calls, email correspondence, and fax communications to verify provider details and resolve discrepancies.
• Documentation: Record all provider changes meticulously across multiple databases and internal systems.
• Group Roster Management: Research and manage provider group rosters in various formats, including Word and Excel, ensuring consistency and accuracy.
• Bulk Submission Review: Examine bulk provider submissions from group entities to confirm data load accuracy and compliance.
• Discrepancy Investigation: Investigate data anomalies, cross‑reference key provider data, and resolve errors within internal systems.

Essential Qualifications

• Current and ongoing authorization to work in the United States without employer sponsorship.
• High school diploma or equivalent; associate or bachelor’s degree in Health Information Management, Data Analytics, or a related field is a plus.
• 1–2 years of experience in healthcare data management, provider data administration, or a similar role.
• Solid understanding of healthcare provider networks, payer relationships, and reimbursement workflows.
• Proficiency in Microsoft Excel, including advanced functions, pivot tables, and data manipulation techniques.
• Strong analytical mindset with a keen eye for detail and accuracy.
• Excellent problem‑solving skills and the ability to troubleshoot complex data issues.
• Superior organizational and time‑management abilities, capable of juggling multiple priorities in a fast‑paced environment.
• Experience with provider data management systems (e.g., Athenahealth, Epic, or similar platforms) is highly desirable.
• Prior exposure to healthcare provider data standards (NPI, HCPCS, CPT, etc.) is a significant advantage.

Preferred Qualifications

• Certification in Health Information Management (RHIA, RHIT) or related credentials.
• Experience working with large data sets and performing data cleansing, deduplication, and validation.
• Familiarity with regulatory compliance requirements such as HIPAA, HITECH, and CMS guidelines.
• Knowledge of electronic health record (EHR) systems and integration workflows.
• Previous remote work experience with a proven track record of self‑management and collaboration across distributed teams.

Core Skills & Competencies

• Data Accuracy & Integrity: Meticulous attention to detail and a commitment to maintaining pristine data sets.
• Technical Proficiency: Advanced Excel skills, familiarity with database queries, and comfort with data management tools.
• Communication: Clear, concise written and verbal communication, especially when interacting with providers and internal stakeholders.
• Problem Solving: Ability to diagnose root causes of data discrepancies and implement effective solutions.
• Collaboration: Strong teamwork skills, working closely with cross‑functional teams such as billing, analytics, and IT.
• Adaptability: Comfortable navigating evolving systems, processes, and industry regulations.
• Customer‑Centric Mindset: Understanding the impact of accurate data on provider satisfaction and patient care.

Career Growth & Learning Opportunities

At brighthush, we invest heavily in the professional development of our team members. As a Network Provider Data Specialist, you will:

• Gain exposure to advanced data analytics, machine learning applications, and AI‑driven data quality tools.
• Participate in cross‑departmental projects that shape the future of healthcare information technology.
• Access a robust learning portal featuring courses on healthcare regulations, data governance, and emerging tech trends.
• Earn certifications such as RHIA, RHIT, or Certified Professional in Healthcare Information and Management Systems (CPHIMS) through our tuition reimbursement program.
• Progress into roles such as Data Governance Lead, Provider Relations Manager, or Analytics Consultant, depending on your interests and performance.

Work Environment & Company Culture

brighthush is proud of its inclusive, collaborative, and forward‑thinking culture. Key highlights include:

• Remote‑First Flexibility: Work from anywhere in the U.S. while staying connected through virtual collaboration tools.
• Time Zone Alignment: Our remote teams operate on Pacific Standard Time (PST) from 8 a.m. to 5 p.m., ensuring synchronous collaboration across departments.
• Team Engagement: Regular virtual town halls, hackathons, and wellness challenges keep our community vibrant and connected.
• Diversity & Inclusion: A commitment to building a workforce that reflects the communities we serve, with active employee resource groups and mentorship programs.
• Innovation‑Driven: A culture that encourages experimentation, continuous improvement, and the sharing of ideas.

Compensation, Perks, and Benefits

While specific salary ranges are determined by experience and location, brighthush offers a competitive total rewards package that includes:

• Full‑time remote position with a flexible work schedule aligned to PST.
• Comprehensive medical, dental, and vision insurance plans.
• Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to support out‑of‑pocket medical expenses.
• Life and Accidental Death & Dismemberment (AD&D) insurance.
• 401(k) retirement plan with company match.
• Tuition reimbursement for approved professional development courses.
• Wellness stipend and access to an extensive library of health resources.
• Paid time off, holidays, and a generous parental leave policy.
• Employee assistance programs, mental health support, and access to virtual counseling.

How to Apply

Ready to join a forward‑thinking team that values data integrity and provider relationships? Click the link below to submit your application and become part of brighthush’s mission to transform healthcare information.

Apply to brighthush Today

Join brighthush – Where Data Meets Care

At brighthush, every line of data you manage has a real‑world impact: accurate provider profiles mean timely reimbursements, reliable directory listings, and ultimately, better patient care. If you thrive in a data‑driven environment, enjoy problem solving, and want to be part of a company that is reshaping the future of healthcare, we want to hear from you. Apply now and help us keep the healthcare system running smoothly, one provider at a time.