This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Provider Data Analyst - REMOTE. In this critical role, you will support the governance, quality, and operational effectiveness of provider data across the health plan ecosystem. Your work will focus on analyzing provider data trends and identifying systemic issues as well as improving processes for provider onboarding, credentialing, claims adjudication, and provider directory accuracy. Collaborating closely with various operational teams, you will ensure data flows are precise and integrated, ultimately contributing to enhanced decision-making and operational integrity in the field of healthcare data management.
Accountabilities
- Monitor provider data quality across operational systems and identify systemic data issues affecting claims payment.
- 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, and onboarding issues.
- Identify recurring operational problems and recommend process improvements.
- Develop dashboards and reports that provide visibility into provider data performance.
- Evaluate how provider data flows between systems including credentialing and claims processing.
- Identify data gaps and inconsistencies across systems and external partners.
- Support system enhancements related to provider data integration.
- Identify opportunities to streamline provider data intake and distribution processes.
Requirements
- Bachelor’s degree in healthcare administration, data analytics, information systems, business, or a related field.
- 3–6 years of experience with healthcare provider data and credentialing operations.
- Strong understanding of healthcare provider identifiers including NPIs and TINs.
- Experience analyzing operational healthcare data related to claims processing.
- Strong analytical and problem-solving skills.
- Advanced Excel skills including data analysis and reporting.
- Experience with data warehouses, SQL, or reporting tools such as Tableau or Power BI.
- Familiarity with provider credentialing standards and verification processes.
Benefits
- 401K with company match.
- Comprehensive health and wellness packages.
- Internal mobility team dedicated to career development.
- Professional growth opportunities including training and conference attendance.
- Cutting-edge technology and tools for your learning.
- Paid vacation and holiday time.
- Remote work flexibility.
Why Apply Through Jobgether?
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.