Senior Data Quality Analyst, PDM

Job not on LinkedIn

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $98.5k - $147.8k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Lead provider data quality initiatives across provider lifecycle management processes • Develop and maintain data quality frameworks, standards, controls, and KPIs • Identify data quality issues through analytics, audits, monitoring, and stakeholder feedback • Perform root cause analysis and recommend corrective and preventive actions • Establish quality assurance and validation processes to improve provider record accuracy • Drive remediation of provider data discrepancies and systemic issues • Support provider directory accuracy programs and regulatory compliance requirements • Monitor directory performance metrics and trends affecting member and provider experience • Design and implement controls to improve directory accuracy and reduce regulatory risk • Support readiness activities, audits, corrective action plans, and regulatory reporting • Serve as business lead for provider data governance initiatives • Define provider data definitions, business rules, standards, and stewardship responsibilities • Facilitate governance forums and stakeholder discussions • Analyze provider data across multiple source systems • Develop dashboards and reporting solutions • Present findings, recommendations, and progress updates to leadership and cross-functional stakeholders • Assess provider operational processes and lead continuous improvement initiatives • Document current-state and future-state workflows • Support automation and technology solutions • Collaborate with Network Management, Credentialing, Provider Enrollment, Claims, Digital, Product, Compliance, and Technology teams • Serve as a trusted advisor on provider data initiatives and transformation efforts • Support provider data modernization, provider lifecycle management, and directory optimization projects • Facilitate stakeholder alignment and resolution of cross-functional data quality issues • Perform other duties as assigned by the manager

🎯 Requirements

• 5+ years of experience in healthcare provider operations, provider data management, provider enrollment, credentialing, network operations, or related functions • 3+ years of experience leading data quality, data governance, or data integrity initiatives • Experience supporting provider directory operations and provider data management processes • Experience conducting root cause analysis and developing corrective action plans • Strong knowledge of healthcare provider lifecycle processes and provider master data • Proficiency in Excel, Power BI, and SQL • Experience with Tableau or similar data visualization tool • Must be able to work Pacific Time (PST/PDT) business hours • Bachelor's degree in Business Administration, Healthcare Administration, Information Management, Data Analytics, Health Informatics, or related field • Equivalent combination of education and experience may be considered • Deep understanding of provider operations, provider data management, and provider directory processes • Knowledge of provider credentialing, enrollment, contracting, and network management workflows • Advanced Excel skills and proficiency with Power BI and SQL • Ability to analyze large provider datasets and identify data integrity issues • Experience developing KPIs, scorecards, dashboards, and quality monitoring frameworks • Advanced proficiency with data analysis and reporting tools • Employment sponsorship is not available for this position

🏖️ Benefits

• Fully remote work • Equal Opportunity/Affirmative Action employment

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