Provider Data Integrity Supervisor at LSMA Management Inc

San Bernardino, California, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jun, 26

Salary

39.0

Posted On

18 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Data Management, Data Integrity, Staff Management, Regulatory Compliance, Data Entry, Provider Directory Accuracy, System Updates, Analytical Skills, Organizational Skills, Problem-Solving Skills, Communication Skills, Interpersonal Skills, Confidentiality, EZ Cap, EPIC

Industry

Health and Human Services

Description

Description JOB SUMMARY The Provider Data Integrity Supervisor is responsible for overseeing the accuracy, integrity, and maintenance of provider demographic, contractual, and network participation data across all organizational systems and health plan reporting platforms. This role supervises Provider Data Integrity staff and ensures compliance with regulatory requirements, health plan contractual obligations, and accreditation standards, including DMHC, CMS, DHCS, and NCQA requirements. The Supervisor ensures timely and accurate provider data entry, provider roster submissions, provider directory accuracy, and provider system updates to support network operations, claims processing, member access, and regulatory compliance. This role works closely with Credentialing, Provider Relations, Contracting, Health Plan Operations, and IT teams to maintain data accuracy and operational readiness. Requirements MINIMUM & PREFERRED QUALIFICATIONS Education/Training Minimum: Associate’s degree or equivalent. Preferred: Bachelor’s degree in Healthcare Administration, Business Administration, or related field. Experience Minimum: 4+ years of provider data management, credentialing, or managed care operations experience. Preferred: Experience in MSO, IPA, or health plan environment. Experience supporting delegated managed care operations and audits. Any combination of educational and work experience that would be equivalent to the stated minimum requirements would qualify for consideration of this position. Skills, Knowledge & Abilities · Strong knowledge of provider data management and healthcare provider systems. · Knowledge of DMHC, CMS, DHCS, and NCQA provider data requirements. · Strong leadership and staff management skills. · Proficiency with provider management systems such as EZ Cap, EPIC, or similar. · Strong analytical, organizational, and problem-solving skills. · Excellent communication and interpersonal skills. · Ability to maintain confidentiality and data integrity. PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS The physical, mental, and environmental demands described here are representative of those required to successfully perform the essential functions of this job. Work is primarily performed in a standard office or hybrid office environment and requires prolonged periods of sitting, frequent use of computers, telephones, and office equipment. The role requires sustained mental concentration, attention to detail, and the ability to review and verify credentialing documentation accurately. Occasional lifting or moving of materials up to approximately 15–20 pounds may be required. This role requires the ability to communicate effectively with providers, staff, and external partners, and to maintain confidentiality of sensitive credentialing information.

Responsibilities

The Provider Data Integrity Supervisor oversees the accuracy, integrity, and maintenance of provider demographic, contractual, and network participation data across all systems and reporting platforms. This role involves supervising staff to ensure compliance with regulatory requirements and accurate data updates to support network operations and claims processing.