Provider Data Analyst

Data AnalystData AnalystOtherRemoteSeniorTeam 10,001+Since 1954H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

8 days ago

Salary

$64.2K - $80.5K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

• Monitor provider data quality across operational systems and identify systemic data issues affecting claims payment, network participation, or provider directories. • Develop and maintain data validation rules and quality checks to ensure provider data integrity. • Analyze provider data discrepancies and lead root cause investigations. • Analyze trends in provider data errors, claims rejections, provider onboarding issues, and directory inaccuracies. • Identify recurring operational problems and recommend process improvements. • Develop dashboards and reports that provide visibility into provider data performance and quality metrics. • Evaluate how provider data flows between systems including provider network management, credentialing, claims processing, and directory platforms. • Identify data gaps, transformation issues, and inconsistencies across systems and external data partners. • Support system enhancements and process improvements related to provider data integration. • Identify opportunities to streamline provider data intake, validation, and distribution processes. • Serve as a subject matter resource for provider data questions across operational teams.

Job Requirements

  • Bachelor’s degree in healthcare administration, data analytics, information systems, business, or a related field (or equivalent experience)
  • 3–6 years of experience working with healthcare provider data, provider networks, credentialing operations, or health plan administration
  • Strong understanding of healthcare provider identifiers including NPIs, TINs, and service location structures
  • Experience analyzing operational healthcare data related to claims processing, credentialing, provider directories, or network participation
  • Strong analytical and problem-solving skills with the ability to identify systemic issues and trends
  • Advanced Excel skills including data analysis and reporting.

Benefits

  • 401K with company match
  • Comprehensive health and wellness packages
  • Internal mobility team dedicated to helping you own your career
  • Professional scientific growth opportunities, including journal subscriptions, conference attendance, and supporting publication journey
  • Cutting-edge technology you can learn from
  • Rest and recharge with paid vacation and holidays
  • Paid family leave program

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