Provider Data Integrity & Enrollment Specialist

Keck Medicine of USC; Pasadena (CA); On-site; USD 71,000 - 117,000; Full time

Job summary

Keck Medicine of USC seeks a Provider Data Integrity Analyst to ensure accurate provider data across faculty practices, hospitals, and clinical enterprises. You will audit rosters, manage enrollments, and align internal systems with payer data, supporting regulatory compliance and claims accuracy.

Responsibilities include identifying data discrepancies, producing reports, and collaborating with Contracts, Credentialing, and Revenue Cycle teams to maintain network integrity.

Qualifications

• Bachelor's degree in information management, healthcare information, business, mathematics, statistics, or related field.
• Experience in healthcare environments focusing on credentialing and provider enrollment.
• Ability to develop indicators and monitoring systems for data analysis.
• Strong knowledge of Microsoft operating systems, including report creation, tables, and queries.
• Analytical and problem-solving skills with attention to accuracy.
• Ability to manage multiple deadlines in a fast-paced environment.
• Proven communication, influencing, and partnering skills.

Responsibilities

• Audit, reconcile, and validate provider rosters across internal and external payer systems for accuracy.
• Ensure accurate provider demographic, practice location, specialty, and affiliation data.
• Process and track provider enrollments, updates, changes, revalidations, and terminations in systems.
• Identify and resolve discrepancies between contracting records, credentialing data, and payer enrollment files.
• Analyze roster files and data extracts using Excel and reporting tools to identify errors and trends.
• Develop and distribute reports and dashboards for operational decision making and compliance.
• Support payer roster submissions and directory attestations; respond to inquiries and audits.
• Serve as a subject matter expert for provider data governance and audit preparation.

Skills

Credentialing experience

Provider enrollment experience

Analytical skills

Data extracts / database management

Data integrity

Communication & teamwork

Deadline management

Education

Bachelor's Degree in Information Management or related field

Tools

Excel

Microsoft Word

Job description

Keck Medicine of USC seeks a Provider Data Integrity Analyst to ensure accurate provider data across faculty practices, hospitals, and clinical enterprises. You will audit rosters, manage enrollments, and align internal systems with payer data, supporting regulatory compliance and claims accuracy.

Responsibilities include identifying data discrepancies, producing reports, and collaborating with Contracts, Credentialing, and Revenue Cycle teams to maintain network integrity.