Provider Data & Insights Analyst

Hill Physicians Medical Group; San Ramon (CA); On-site; USD 70,000 - 88,000; Full time

Job summary

Hill Physicians Medical Group is seeking a Provider Data Analyst to support processes, standards, and daily provider data operations in the Salesforce-based system of record. You will collaborate with health plans and internal partners to ensure accurate provider data across systems and directories, and create reports/dashboards to monitor data quality and performance.

The role emphasizes data quality, automation opportunities, and support for audits, with a focus on timely, compliant data

Qualifications

• Bachelor’s degree required or equivalent experience.
• Experience supporting or coordinating projects (e.g., tracking tasks, documenting decisions, communicating status).
• Proficient data analysis skills, including data validation, trend analysis, and root-cause investigation.
• Experience with Excel and Tableau preferred.

Responsibilities

• Enter, update, and maintain complete and accurate provider demographic, billing, and contract data across systems.
• Ensure provider data is updated in accordance with compliance requirements, processing rules, and guidelines; meet department SLAs and timelines.
• Track, document, and resolve provider data requests and inquiries through completion; investigate issues, validate corrections, and provide status updates and routine data extracts/reports as needed.
• Create, maintain, and distribute provider rosters to validate required information and ensure accuracy, completeness, and timeliness.
• Support internal/external audits and compliance activities by gathering documentation, completing assigned analysis, and responding to requests within established timelines.
• Create and route provider change request forms and manage provider portal accounts.

Skills

Data analysis

Data validation

Trend analysis

Root-cause investigation

Communication skills

Time management

Team player

Education

Bachelor’s degree or equivalent experience

Tools

Microsoft Excel

Tableau

Microsoft Office Suite

Job description

Hill Physicians Medical Group is seeking a Provider Data Analyst to support processes, standards, and daily provider data operations in the Salesforce-based system of record. You will collaborate with health plans and internal partners to ensure accurate provider data across systems and directories, and create reports/dashboards to monitor data quality and performance.

The role emphasizes data quality, automation opportunities, and support for audits, with a focus on timely, compliant data