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# Network Data Specialist

- **Company:** Florida, Inc
- **Location:** Coral Gables, FL, United States
- **Experience:** Starter
- **Contract:** Permanent contract
- **Skills:** Microsoft Word, Microsoft Excel, Microsoft Outlook, Databases, Microsoft Office, Data Management, Marketplace
- **Published:** August 9, 2026
- **Apply:** https://www.wayup.com/i-j-Credentialing-Specialist-FLORIDA-DOCTORS-GROUP-CORP-893746560502204/

## About the Role

Are you a highly organized, detail-oriented professional who enjoys working with data, healthcare operations, and provider relations? Florida Doctors Group is looking for a Network Data Specialist to join our growing team., The ideal candidate possesses:
Strong attention to detail and exceptional organizational skills.
Ability to prioritize multiple projects while meeting deadlines.
Strong analytical and problem-solving abilities.
Excellent verbal and written communication skills.
Ability to work independently while collaborating effectively with multiple departments.
Professionalism when communicating with physicians, office managers, insurance representatives, and leadership.
Proficiency with Microsoft Office (Excel, Outlook, Word, Teams).
Experience working with online health plan portals and provider databases is preferred.
Knowledge of CAQH, NPPES, PECOS, and provider enrollment systems is a plus.
Understanding of healthcare credentialing, provider enrollment, contracting, or provider data management is preferred.
Preferred Qualifications
1-3 years of experience in healthcare administration, provider credentialing, provider enrollment, medical office administration, health plan operations, or provider data management.
Experience working with Medicare Advantage, Medicaid, Commercial, or Marketplace health plans is highly desirable.
Associate's or Bachelor's degree preferred, but equivalent experience will also be considered.

## Description

In this role, you will play a critical part in maintaining the integrity of our provider network by supporting credentialing, provider data management, contracting, and health plan enrollment activities. You'll work closely with insurance companies, healthcare providers, and internal departments to ensure our providers remain compliant, accurately represented, and ready to serve our members.
This is an excellent opportunity for someone who enjoys problem-solving, managing multiple projects, and contributing to a fast-paced healthcare organization that values teamwork, accuracy, and professional growth.
What You'll Do
As a Network Data Specialist, you will:
Coordinate provider and facility credentialing with multiple commercial and government health plans.
Complete and submit provider and facility credentialing and contracting applications.
Perform primary source verification of provider credentials, including:
State Licenses
DEA Registrations
Board Certifications
Malpractice Insurance
Professional Liability History
Sanction Monitoring
Education and Training Verification
Maintain accurate provider demographic, credentialing, and contracting information across internal databases and health plan portals.
Monitor license, certification, DEA, malpractice, and other credential expiration dates to ensure continuous compliance.
Update provider records and practice information with health plans and regulatory agencies.
Audit provider directories to ensure information remains current and accurate.
Research and resolve provider data discrepancies with insurance companies and internal departments.
Collaborate with Provider Relations, Contracting, Quality, Billing, and Operations teams to resolve provider issues.
Assist with provider onboarding and network maintenance initiatives.
Maintain accurate documentation and tracking throughout the credentialing lifecycle.
Participate in special projects and other duties as assigned.


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