Job Summary The Provider Demographic Management Coordinator (PDM Coordinator) is responsible for generating Health Plan notifications including adds, changes and terms. PDM Coordinator catalogs and tracks all changes and ensures key updates are completed accordingly. In addition, the PDM Coordinator will work directly with the Provider Demographic Specialist to ensure the accuracy of network provider information listed on the contracted health plans directories and websites. The PDM Coordinator will assist in maintaining accurate and updated provider matrixes and rosters on internal intranets as well as websites.

Pay:

$30-35/hr

Location:

Fountain Valley, CA 92708

Duration:

09/28/2026

• 12/31/2026
• Likely to extend

•

FMLA/LOA

Coverage Hours/Shifts:

40 hours/week

Job Responsibilities:

• Assist Directory Support Specialist with maintaining departmental matrixes and provider rosters.
• Verify Health Plan directories and websites to ensure accuracy of provider information. Responsible for the provider demographic verification and validation of Health Plan rosters.
• Assist other departments with health plan related problems, requests and questions related to provider information.
• Responsible for assisting with the timely submission of Health Plan Adds, Changes, Terms, and semi-annual and quarterly reports.
• Catalogs and tracks all changes and ensures key updates are completed in accordance to established process flows.
• Responsible for generating Health Plan notifications related Plan Adds, Changes, Terms etc.

Ensures all the supporting documents are provided (e.g. W-9s, Profiles, original notification request, etc.).

MUST HAVE REQUIREMENTS HS

Diploma Minimum of two to four (2-4) years healthcare experience working in a managed care or information systems setting. Familiar with regulatory standards including but not limited to: NCQA, ICE, DMHC, DHCS, CMS, and contracted health plans. Effectively establish and maintain working relationships and proves able to continually follow up with appropriate parties in order to achieve optimal results. Track, update, and audit provider information in database. Analyze problems by gathering all relevant information and come up with appropriate solutions Must understand basic computer logic, conditional statements. Must be able to communicate with others clearly, tactfully and professionally. Must have strong computer skills with a broad knowledge of software packages. Intermediate level of proficiency with MS Word, Excel and Access. Working knowledge of data analysis, data presentation, and preparation of professional documents.

PREFERRED REQUIREMENTS

Bachelor's degree in Healthcare Analytics, Health Administration, or related major. Comparable work experience in areas of Provider Data Management or Provider Network Management. Experience with various healthcare industry regulatory agencies and requirements including but not limited to

CMS, NCQA, DMHC, ICE, DHCS.

Epic or equivalent Managed Care electronic medical record system and provider portal applications knowledge. #AJ1

Pay:

$30.00

• $35.

00 per hour Expected hours: 40.0 per week

Work Location:

In person