Provider Data Integrity & Enrollment Specialist

University of Southern California; Pasadena (CA); On-site; USD 71,000 - 117,000; Full time

Job summary

University of Southern California Care Medical Group seeks a Provider Data Integrity Analyst to maintain accuracy of provider data across faculty practice plans, hospitals, and affiliated enterprises. The role supports payer enrollment, provider contracting, and updates by auditing rosters and updating payer systems to ensure alignment across academic, clinical, and payer-facing data.

The position functions as a subject matter expert for data governance, directory accuracy, and payer/regulatory

Qualifications

• Bachelor's degree in Information Management, Healthcare Information, Business, Mathematics, Statistics, or related fields.
• Experience in Healthcare environment working in Credentialing and Provider Enrollment.
• Ability to develop indicators, monitoring and evaluation systems and methods to analyze trends or relationships.

Responsibilities

• Audit, reconcile, and validate provider rosters and loaded provider records across internal systems and external payer systems for accuracy.
• Ensure accurate provider demographic, practice location, specialty, and affiliation data for faculty and affiliated providers.
• Process and track provider enrollments, demographic updates, specialty changes, revalidations, and terminations in payer and internal systems.
• Identify, investigate, and resolve discrepancies between contracting records, credentialing data, payer enrollment files, and provider directories; provide documented findings and remediation recommendations.
• Analyze provider roster files using Excel and reporting tools to identify errors, trends, gaps, and data quality issues.
• Develop and distribute provider- and network-related reports and dashboards for operational decisions, compliance, audits, and issue resolution.

Skills

Credentialing & Enrollment

Data analysis

Communication

Attention to detail

Project management

Excel

Education

Bachelor's degree in Information Management / Healthcare Information / Business / Mathematics / Statistics or related fields

Tools

Excel

Microsoft Word

Job description

University of Southern California Care Medical Group seeks a Provider Data Integrity Analyst to maintain accuracy of provider data across faculty practice plans, hospitals, and affiliated enterprises. The role supports payer enrollment, provider contracting, and updates by auditing rosters and updating payer systems to ensure alignment across academic, clinical, and payer-facing data.

The position functions as a subject matter expert for data governance, directory accuracy, and payer/regulatory