Provider Data Manager

COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

POSITION OVERVIEW

Zing Health is seeking a Provider Data Manager responsible for maintaining accurate and up-to-date provider data within our Medicare Advantage network. This role ensures compliance with CMS regulations, optimizes data quality processes, and collaborates with internal and external stakeholders to enhance provider network operations. This position requires a high-energy individual with a proven ability to manage large workloads, prioritize effectively, communicate clearly, and deliver results.  

 ESSENTIAL POSITION RESPONSIBILITES

• Provider Data Integrity: Oversee the maintenance, validation, and accuracy of provider data, including demographic details, contract affiliations, and credentialing information. 
• Regulatory Compliance: Ensure provider data meets all CMS and state regulatory requirements, including accurate provider directory updates and network adequacy reporting. 
• Process Improvement: Develop and implement strategies to enhance provider data workflows, reduce errors, and improve automation. 
• Cross-Functional Collaboration: Partner with provider relations, credentialing, IT, claims, and compliance teams to ensure alignment and data accuracy. 
• Technology & Systems Management: Work with IT to optimize provider data systems, integration with claims and directory platforms, and troubleshoot system issues. Communicate root-cause with stakeholders as appropriate.  
• Reporting & Analytics: Monitor key performance indicators (KPIs), track data accuracy trends, and provide insights for leadership decision-making. 
• Vendor & Payer Relations: Manage relationships with external data vendors, clearinghouses, and third-party administrators to ensure data consistency. 

POSITION QUALIFICATIONS

Required Qualifications

Education/Experience:

• Bachelor’s degree in healthcare administration, business, IT, or a related field (Master’s preferred). 
• 5+ years of experience in provider data management, network operations, or healthcare data governance, preferably in a Medicare Advantage setting. 
• Strong knowledge of CMS Medicare Advantage regulations, including provider directory accuracy requirements. 
• Experience with provider data management systems, claims processing, and credentialing platforms. 
• Proven track record of process development and optimization. 
• Excellent problem-solving, project management, and analytical skills. 
• Strong communication and stakeholder management abilities. 
• Independent thinker and worker with strong multi-tasking skills 

Company Benefits Include:

• Medical
• Dental
• Vision
• 401(K) with Employer match up to 4%
• 9 Company Holidays