Senior Analyst, Credentialing Data Operations
Core
Ensures accuracy, quality, and compliance of credentialing and provider operations data through analysis, reporting, and process improvement.
Role type
Senior Analyst, Credentialing Data Operations
Builds
Reports, dashboards, metrics, and monitoring controls for provider and facility credentialing
Domain
Healthcare operations / Credentialing / Data Analytics
Deliverable
dashboards & analysis
Required skills
Data analysis, Root-cause analysis, Report building, Data validation, Process improvement, Project management, Audit execution, Data reconciliation
Preferred skills
SQL, BigQuery, BI platforms, Credentialing domain knowledge, NCQA/CMS regulations
Technologies
Excel, Google Sheets, SQL, BigQuery, BI platforms
Responsibilities
Evaluate practitioner and facility credentialing records for accuracy and compliance; Analyze large datasets to measure operational performance; Build and validate reports and dashboards; Perform root-cause analysis on data trends and audit results; Lead remediation of complex quality or data issues; Coach team members on subject-matter guidance.
Seniority
Senior, hands-on IC