Provider Data Integrity Administrator

Under the leadership of the SVP of Provider Strategy & Network Management, the Provider Data Integrity Administrator is responsible for the accuracy, governance, and operational integrity of InnovAge’s enterprise provider data. This role manages end‑to‑end provider data workflows that support network management, payment operations, scheduling, and regulatory-facing provider directories.

The position serves as a key operational partner in the design, implementation, and ongoing optimization of centralized provider data systems, including Salesforce-based solutions, and supports downstream data integrations across clinical, financial, and reporting platforms. The Provider Data Integrity Administrator ensures provider data consistency across internal and external stakeholders and plays a critical role in maintaining reliable data needed for operational decision-making, system interoperability, and organizational compliance.

Essential Functions and Work Responsibilities

Primary Focus: Provider Data Management Integrity and Governance

• Creates, validates, and maintains accurate provider demographic, billing, and payment data through governed intake processes, including structured templates and system uploads, ensuring data integrity and alignment with InnovAge operation needs. May include both manual data entry and/or upload of Intake Templates.
• Applies judgement to ensure consistency, completeness, and accuracy of provider data used for payment, network management, scheduling, and reporting across the organization.
• Supports ongoing provider demographic and payment data feeds by monitoring data quality, reconciling discrepancies, and coordinating corrections as necessary.
• Maintains Provider Directories across all InnovAge markets –including external (participants, brokers & regulatory) and internal (network, IDT, and Order/Scheduling/Transportation) operational uses.
• Ensuring provider directory data is accurate, current, and aligned across systems and audiences to support compliance, participant access and operational efficiency.
• Serves as a key operational contributor in the development, user testing, and ongoing operationalization of Salesforce-based solutions supporting centralized data management, including objects, fields, and reporting.
• Supports the development, testing, and day-to-day operational use of Salesforce Portal to facilitate accurate data intake and maintenance.
• Supports system configuration and testing activities related to credentialing verification organization (CVO) as they related to provider data accuracy and integrity.
• Supports provider data alignment and integrate appropriately with downstream clinical, financial, and reporting systems, including EPIC, Oracle, Tableau, Plexis, and other InnovAge platforms.
• Participants in the development, review, revision, and updating standards, policies, procedures, internal and external training materials related to InnovAge’s Salesforce applications, Provider Portal, and provider data integrity operations, oversight, and compliance.
• Identifies, analyzes, and recommends resolution of provider data operations related issues including trends, root causes, and process improvement opportunities.
• Applies independent judgement to prioritize data issues and determine appropriate resolution paths in coordination with stakeholders.
• Communicates with providers and processes correspondence from providers in a timely manner, as needed, serving as a knowledge point of contact for provider data inquiries.
• May support responses to requests from providers, regulatory bodies, government, etc., as appropriate.
• Processes requests for information in an effective and timely manner.
• Maintain effective and collaborative working relationships with management, employees and external providers.
• Supports achievement of departmental milestones and operational goals by meeting assigned timelines, maintaining data accuracy, adhering to established processes and adhering to approved budgets.
• Other duties as needed

Travel Requirements

Travel

• Occasional Travel required
• Overnight travel out of state

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions

REQUIRED

Education 

• Bachelor’s degree in related field or an equivalent combination of related experience and education.

Work Experience and Qualifications 

• A minimum of five (5) years’ experience.
• Experience working with organizational policies, procedures and systems, the ability to perform varied and complex data entry and report tasks, in addition to experience preparing written documents such as letters, memos, e-mails and faxes required
• Expertise with database management applications (Excel, Access, Smartsheet)
• Working knowledge and the ability to use complex office equipment.
• Experience working both independently and in a team-oriented, collaborative environment.

PREFERRED

• Experience in Health Plan Provider Relations/Network operations preferred.
• Experience with Salesforce software preferred.

InnovAge is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. InnovAge offers an alternative to nursing homes through its Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for each participant. At InnovAge, our team members are our greatest asset and have a significant impact on the lives of our participants every day. When you join InnovAge, you'll work alongside talented, respectful, and passionate colleagues within a patient-centered care model.

InnovAge is committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. We consider all qualified candidates for employment without discrimination based on race, color, religion, sex, sexual orientation, gender identity/expression, national origin, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.

Applicants are considered until the position is filled.

Compensation Disclaimer

The pay may vary depending on job related factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity.  InnovAge offers a comprehensive benefits package, which includes medical, dental, vision, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, paid time off and company paid holidays.

Attention Florida Applicants
This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse.
For more information, please visit the Clearinghouse Education and Awareness website:  https://info.flclearinghouse.com

Agency Disclaimer

InnovAge will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, all candidates/resumes submitted by search firms to InnovAge by any means without a valid written search agreement in place for that position will be deemed the property of InnovAge and no fee will be paid in the event such candidate is hired by InnovAge.