Clinical Excellence Provider Data Technical Analyst

Accountabilities:

Manage, maintain, and support enterprise clinical excellence applications used for provider data management, including credentialing, electronic medical records, provider directories, enrollment, and identity management systems.
Perform database administration, data analysis, reporting, and quality monitoring to ensure provider information remains accurate, complete, consistent, and reliable.
Develop and maintain SQL queries, reports, and data extracts to meet the information needs of Clinical Excellence teams and Enterprise Analytics.
Support clinical and operational leaders across different regions, markets, and care sites by providing accurate, actionable provider data and analytical insights.
Develop and implement internal controls and quality assurance processes to maintain high provider data standards and support regulatory and organizational compliance.
Organize and deliver training sessions for healthcare professionals and internal teams to help them audit, update, and submit accurate provider information.
Create educational materials, training resources, and documentation to support consistent data management practices across the organization.
Serve as a primary technical contact for end users, troubleshooting application issues, investigating data discrepancies, and coordinating appropriate resolutions.
Administer clinical excellence provider applications, including database security administration and access management responsibilities.
Collaborate with stakeholders across clinical, operational, and technical teams to identify data-related challenges, resolve issues, and improve existing processes.
Analyze complex datasets, identify inconsistencies, and recommend solutions that strengthen data quality, integration, and governance.
Participate in stakeholder meetings and coordinate discussions to address provider data issues, establish priorities, and support operational initiatives.
Support data warehouse and credentialing application activities, including extracting, loading, and managing data.
Coordinate projects involving provider data systems, reporting improvements, and cross-functional operational requirements.
Maintain accurate documentation and ensure provider data processes align with established security, confidentiality, and information management standards.
Requirements:
At least 3 years of professional experience in provider data management or a closely related field.
Strong understanding of healthcare environments, including the types of information used, how healthcare data is generated, processed, consumed, and transformed.
Previous experience working directly with healthcare providers or other end users to troubleshoot application and data-related issues.
Demonstrated experience with database administration, including database security administration and access management.
Proficiency in Structured Query Language (SQL), including writing queries, extracting information, and developing reports using relevant reporting tools.
Advanced Microsoft Excel skills, including pivot tables, lookup formulas, charts, dashboards, and comparing datasets to identify discrepancies.
Strong experience with Microsoft Office applications, including spreadsheet, word processing, and database tools.
Demonstrated ability to analyze, manage, visualize, govern, and integrate data while maintaining high standards of accuracy and quality.
Experience identifying data quality issues, investigating inconsistencies, and implementing appropriate corrective actions.
Ability to develop educational materials and deliver effective training sessions to healthcare professionals and internal stakeholders.
Strong organizational and analytical skills, with excellent attention to detail and the ability to solve complex problems.
Excellent written and verbal communication skills, supported by a professional demeanor and strong interpersonal abilities.
Demonstrated experience organizing and managing both remote and in-person meetings with diverse stakeholders.
Proven time management and prioritization skills, with the flexibility to adapt to changing operational needs and business priorities.
Ability to collaborate effectively across multidisciplinary teams while managing independent responsibilities and competing deadlines.
Strong understanding of data security, confidentiality, and compliance requirements within healthcare information systems.
Preferred Qualifications:
Previous professional experience working within a healthcare organization or healthcare-related environment.
Familiarity with provider credentialing, onboarding, scheduling, and enrollment processes.
Experience coordinating complex projects involving multiple stakeholders, deliverables, and operational priorities.
Working knowledge of data warehouse environments and credentialing applications, including data extraction, loading, and management.
Experience supporting clinical applications and enterprise provider information systems.
Benefits:
Hourly Compensation: Competitive pay ranging from $32.42 to $51.08 per hour, depending on relevant experience and qualifications.
Work Arrangement: Fully remote position, offering flexibility to work outside a traditional office environment.
Full-Time Employment: Regular schedule of 40 hours per week.
Healthcare and Well-Being: Comprehensive benefits package designed to support employees' physical, emotional, and overall well-being.
Professional Development: Access to educational opportunities, career advancement resources, and professional skills development.
Education Assistance: Access to the PEAK (Path to Education, Advancement, and Knowledge) program from the first day of employment, offering upfront tuition coverage paid directly to eligible academic institutions.
Learning Opportunities: More than 100 educational options through PEAK, including undergraduate programs, high school diplomas, professional certificates, and skills development courses.
Career Growth: Opportunities to develop expertise in healthcare data management, clinical applications, analytics, and enterprise technology.
Meaningful Impact: Opportunity to contribute to healthcare quality improvement by helping clinical teams access accurate, reliable, and actionable provider information.