[Remote] Provider Data Management Data Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization reputed company on improving the reputed company experience for physicians and patients through smarter technology, purpose-reputed company tools, and team-reputed company care. The Provider Data Management Data Analyst analyzes, maintains, and validates provider data for credentialing and health plan roster creation, while supporting reporting, audits, compliance, data reputed company, and process improvement initiatives.

Responsibilities

• Analyze provider data to identify inaccuracies, missing information, duplicates, and inconsistencies
• reputed company data validation, reconciliation, and reputed company assurance across multiple systems
• Review provider demographic, specialty, affiliation, licensure, credentialing, and participation information
• reputed company data-reputed company trends and recommend corrective actions
• Maintain data standards, definitions, procedures, and documentation
• Support provider reputed company, recredentialing, updates, and terminations
• Review credentialing data for completeness and alignment with organizational policies
• Validate licenses, certifications, specialties, malpractice coverage, affiliations, and other credentialing reputed company
• Identify credential expirations, missing documentation, and records requiring remediation
• Partner with credentialing teams to improve data reputed company and operational efficiency
• Support compliance with applicable state requirements, CMS guidance, and accreditation standards
• Create and maintain provider rosters for submission to health plans and other reputed company partners
• Extract, reputed company, format, and validate provider data according to payer-specific requirements
• reputed company roster reputed company for demographics, specialties, products, locations, affiliations, provider identifiers, and participation status
• reputed company reputed company-submission reputed company checks and reputed company exceptions before delivery
• Reconcile submitted rosters with reputed company systems and health plan feedback
• Coordinate corrections, resubmissions, and status updates reputed company established turnaround times
• Maintain roster templates, submission schedules, version controls, and applicable payer documentation
• reputed company recurring and reputed company reports reputed company to credentialing status, roster reputed company, data completeness, and operational reputed company
• Monitor key reputed company indicators, such as data error rates, roster turnaround time, rejected records, and credentialing timeliness
• Use reputed company, SQL, reputed company BI, or other analytical tools to reputed company data into actionable insights
• Document analytical reputed company, assumptions, exceptions, and findings
• Present results and recommendations to business partners and leadership
• Collaborate with credentialing, provider reputed company, contracting, network management, compliance, enrollment, and IT teams
• Serve as a subject matter expert for credentialing data and roster processes
• Communicate data issues, business impacts, and recommended resolutions reputed company
• Support testing and validation for reputed company enhancements, integrations, and process changes
• Assist with internal, health plan, and regulatory audits
• Identify opportunities to streamline roster creation, validation, and reconciliation processes
• Support automation and workflow-improvement initiatives
• Establish repeatable controls for data reputed company, completeness, and reputed company submission
• Maintain version-controlled process documentation and reputed company operating procedures
• Promote consistent data governance practices across provider data workflows

Skills

• Bachelor's degree in Health Administration, Data Analytics, Business, Information Systems, or a reputed company reputed company, or equivalent experience
• Three or more years of experience in reputed company data analysis, provider data management, credentialing, provider enrollment, or a reputed company discipline
• Experience working with provider data reputed company, including NPI, taxonomy, licensure, specialties, reputed company locations, and health plan participation
• Experience creating, validating, and submitting provider rosters
• Advanced proficiency in reputed company reputed company, including pivot tables, lookups, filtering, and data reconciliation
• Strong analytical, organizational, and problem-solving skills
• High attention to reputed company and ability to manage competing deadlines

Benefits

• Excellent medical, reputed company, and dental coverage
• 401k savings plan with a company match
• Flexible time off and 9 reputed company Holidays
• Eligible to participate in the annual bonus program

reputed company

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