Provider Data Management Data Analyst

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🏄 California – Remote

🏄 California – Remote

💵 $75k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

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Altais

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2019

🏥 Healthcare

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Altais is a California-based healthcare provider network that unifies multiple medical brands to offer coordinated primary care, urgent care, specialty services, hospitals and labs, and mental and senior health across Northern and Southern California. The organization supports physicians and care teams with technology-enabled patient portals and value-based care partnerships, serving patients directly while also working with providers and partners to improve access, affordability, and care coordination.

📋 Description

• Analyze provider data to identify inaccuracies, missing information, duplicates, and inconsistencies • Perform data validation, reconciliation, and quality assurance across multiple systems • Review provider demographic, specialty, affiliation, licensure, credentialing, and participation information • Track data-quality trends and recommend corrective actions • Maintain data standards, definitions, procedures, and documentation • Support provider onboarding, recredentialing, updates, and terminations • Validate licenses, certifications, specialties, malpractice coverage, affiliations, and other credentialing elements • Create and maintain provider rosters for submission to health plans and external partners • Extract, transform, format, and validate provider data according to payer-specific requirements • Perform pre-submission quality checks and resolve exceptions before delivery • Reconcile submitted rosters with source systems and health plan feedback • Coordinate corrections, resubmissions, and status updates within established turnaround times • Develop recurring and ad hoc reports related to credentialing status, roster accuracy, data completeness, and operational performance • Monitor KPIs including data error rates, roster turnaround time, rejected records, and credentialing timeliness • Use Excel, SQL, Power BI, or other analytical tools to transform data into actionable insights • Present results and recommendations to business partners and leadership • Collaborate with credentialing, provider operations, contracting, network management, compliance, enrollment, and IT teams • Serve as a subject matter expert for credentialing data and roster processes • Support testing and validation for system 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 accuracy, completeness, and timely submission • Maintain version-controlled process documentation and standard operating procedures • Promote consistent data governance practices across provider data workflows

🎯 Requirements

• Bachelor’s degree in Health Administration, Data Analytics, Business, Information Systems, or a related field, or equivalent experience • Three or more years of experience in healthcare data analysis, provider data management, credentialing, provider enrollment, or a related discipline • Experience working with provider data elements, including NPI, taxonomy, licensure, specialties, practice locations, and health plan participation • Experience creating, validating, and submitting provider rosters • Advanced proficiency in Microsoft Excel, including pivot tables, lookups, filtering, and data reconciliation • Strong analytical, organizational, and problem-solving skills • High attention to detail and ability to manage competing deadlines • External hires must pass a background check/drug screen • Must comply with applicable state requirements, CMS guidance, and accreditation standards

🏖️ Benefits

• Excellent medical, vision, and dental coverage • 401k savings plan with a company match • Flexible time off • 9 Paid Holidays • Annual bonus program eligibility • Competitive compensation package • Background check/drug screen for external hires