Provider Data Management Data Analyst
Altais Health Solutions
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Benefits offered by this job
Job summary
Altais Health Solutions is seeking a Provider Data Management Data Analyst to join our data team focused on credentialing, provider rosters, and quality assurance. You will analyze provider data, validate records across systems, and support onboarding and ongoing credentialing workflows to ensure accuracy and regulatory compliance.
You’ll collaborate with credentialing, IT, and operations to improve data governance, automate repetitive tasks, and deliver timely reports using Excel, SQL, and
Qualifications
- Bachelor’s degree in Health Administration, Data Analytics, Business, Information Systems, or a related field.
- 3+ years of experience in healthcare data analysis, provider data management, credentialing, or enrollment.
- Experience with provider data elements (NPI, taxonomy, licensure, specialties, locations, and participation).
- Experience creating, validating, and submitting provider rosters.
Responsibilities
- Analyze provider data to identify inaccuracies, missing information, duplicates, and inconsistencies.
- Perform data validation, reconciliation, and quality assurance across multiple systems.
- Review provider demographics, specialty, affiliations, licensure, credentialing, and participation information.
- Create and maintain provider rosters for health plan submissions.
- Develop recurring and ad hoc reports related to credentialing status, roster accuracy, and data quality.
- Collaborate with credentialing, provider operations, contracting, and IT teams.
Skills
Education
Tools
Job description
At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose‑built tools, and a team‑based model of care, we help doctors do what they do best: care for people. Altais includes a network of physician‑led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.
Are you looking to join a fast‑growing, dynamic team? We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.
The Provider Data Management Data Analyst is responsible for analyzing, maintaining, and validating provider data with a focus on credentialing and health plan provider roster creation. This role ensures provider information is accurate, complete, consistent, and aligned across internal systems, payer platforms, and regulatory submissions. The analyst supports credentialing operations, roster production, data quality monitoring, audits, and process improvement initiatives. You will focus on:
- 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.
- Review credentialing data for completeness and alignment with organizational policies.
- Validate licenses, certifications, specialties, malpractice coverage, affiliations, and other credentialing elements.
- Identify credential expirations, missing documentation, and records requiring remediation.
- Partner with credentialing teams to improve data accuracy and operational efficiency.
- Support compliance with applicable state requirements, CMS guidance, and accreditation standards.
- Create and maintain provider rosters for submission to health plans and other external partners.
- Extract, transform, format, and validate provider data according to payer‑specific requirements.
- Confirm roster accuracy for demographics, specialties, products, locations, affiliations, provider identifiers, and participation status.
- 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.
- Maintain roster templates, submission schedules, version controls, and applicable payer documentation.
- Develop recurring and ad hoc reports related to credentialing status, roster accuracy, data completeness, and operational performance.
- Monitor key performance indicators, such as 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.
- Document analytical methods, assumptions, exceptions, and findings.
- 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.
- Communicate data issues, business impacts, and recommended resolutions clearly.
- 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.
- 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.
The Base Salary for this position is $75,000 - $90,000/year
In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.
- Excellent medical, vision, and dental coverage
- 401k savings plan with a company match
- Flexible time off and 9 Paid Holidays
The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.
This position will also be eligible to participate in our annual bonus program.
Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applicants’ to learn how we collect and process your personal information when you apply for a role with us.
External hires must pass a background check/drug screen.
Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance.
All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity or disability status and any other classification protected by Federal, State and local laws.
If you’re a big thinker, bold innovator, and fiercely motivated to drive change, consider joining our team. We are dedicated to creating exceptional healthcare experiences by building tools that cultivate the health and well‑being of physicians, patients, and the clinical community.
We act with empathy and a deep respect for the challenges faced by physicians and their patients.
We foster a culture of collaboration— with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician well‑being.
We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.
We are relentlessly focused, results‑driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.
We embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward‑thinking, we adapt, innovate, and act decisively to keep physicians at the forefront.
Altais values the contribution each Team Member brings to our organization.
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