We are seeking a detail-oriented, highly analytical Provider Data Management Analyst to join our team in supporting critical provider operations. In this role, you will serve as a key owner of provider data accuracy, supporting enrollment, roster processing, compliance, and data maintenance across multiple healthcare systems.
Provider data serves as the foundation for claims processing, provider directory accuracy, credentialing, and member access to care. This high-visibility position is ideal for a proactive problem solver who thrives in a fast-paced environment and enjoys navigating complex data systems to drive operational accuracy.

Position Type: 6-Month Contract (Potential for extension and foot-in-the-door opportunity for permanent placement)
Pay Rate: $35.00 – $40.00hr
Location: 100% Remote (Must reside in Georgia)

Key Responsibilities
Provider Data Maintenance: Review, research, and process provider enrollment, demographic update, affiliation, and termination requests accurately and within tight timelines.
Roster & Project Work: Manage provider roster processing, large-scale data updates, WellCare/Medicare initiatives, and system implementation projects.
Data Quality & Validation: Perform quality reviews, pre/post-load validations, and error analyses to ensure complete and accurate provider data across all plan systems.
Queue & Escalation Management: Investigate and resolve inventory items, data discrepancies, escalations, and aging work queues.
Cross-Functional Collaboration: Partner closely with Contracting, Credentialing, Configuration, Network Management, and Health Plan operations to streamline workflows and maintain data alignment.
Process Improvement: Identify root causes, data gaps, and operational bottlenecks to contribute to process optimization and automation initiatives.

Requirements & Qualifications
Education: Bachelor’s degree in a related field preferred; Associate’s degree in a related field or equivalent experience accepted.
Experience: 2+ years of experience in provider data management, credentialing, or healthcare operations (e.g., claims processing, billing, provider relations, or contracting). Experience in a managed care, insurance, or medical office environment is strongly preferred.
Technical Skills: Advanced proficiency in Microsoft Excel and systems-savviness for data analysis, validation, and reporting.
Core Competencies:
Proven ability to rapidly learn complex end-to-end workflows and systems.
Strong analytical skills with a track record of identifying root causes and driving resolution.
Exceptional attention to detail, organization, and adherence to SLAs/turnaround times.
Location: Must currently reside in the state of Georgia.

Provider Data Management Analyst

Similar Analytics Jobs