Provider Data Quality & Compliance Analyst

bcidaho; United States; On-site; USD 66,000 - 117,000; Full time

Benefits offered by this job

PTO

Paid Holidays

Education Reimbursement

401(k) Matching

Life Insurance

Disability Insurance

EAP

Adoption assistance

Job summary

Blue Cross of Idaho is seeking a Health Data Analyst to maintain and enhance provider directory data quality, integrity, and regulatory compliance. You will analyze provider data, identify trends, and deliver insights to improve accuracy and member access to care.

The role partners with operations, compliance, and clinical teams to ensure timely, accurate directory information aligned with organizational goals.

Qualifications

• Bachelor's degree in Finance, Information Systems, Business, or related field; or equivalent work experience.
• 2 years' data analysis for Level I; 4 years' data analysis for Level II.

Responsibilities

• Access data warehouse and data marts to produce reports supporting revenue and payment systems.
• Perform analyses: provider accuracy, utilization, financial, compliance, product performance, cost containment, risk.
• Collaborate with subject matter experts to validate findings and provide insights.
• Analyze business systems data to fulfill information requests with standard reports.
• Identify variation/outliers in provider networks and implement solutions with stakeholders.
• Oversee provider directory compliance and UAT for regulatory requirements.
• Manage vendor relationships and monitor performance and issues.
• Contribute to development and education of data/reporting standards.

Skills

Data analysis

Regulatory compliance

Stakeholder communication

Education

Bachelor's Degree in Finance, Information Systems, Business, or related field

Tools

Tableau

Job description

Blue Cross of Idaho is seeking a Health Data Analyst to maintain and enhance provider directory data quality, integrity, and regulatory compliance. You will analyze provider data, identify trends, and deliver insights to improve accuracy and member access to care.

The role partners with operations, compliance, and clinical teams to ensure timely, accurate directory information aligned with organizational goals.