Provider Data Quality & Governance Lead

Alignment Health; Orange (CA); On-site; USD 99,000 - 148,000; Full time

Job summary

Alignment Health is seeking a Sr. Data Quality Analyst, PDM to drive data quality across provider records, directory, and governance. You’ll partner with Operations, Credentialing, and Compliance to ensure accurate, regulation-ready data and reduce risk across systems.

You will define KPIs, develop dashboards, perform root cause analyses, and lead remediation plans while guiding data transformation initiatives across the organization.

Qualifications

• 5+ years of experience in healthcare provider operations or related data management roles.
• Experience leading data quality, data governance, or data integrity initiatives.
• Proficiency with Excel, Power BI and SQL; Tableau experience is a plus.
• Experience with provider directory programs and regulatory compliance.

Responsibilities

• Lead provider data quality initiatives across provider lifecycle management processes, including contracting, credentialing, enrollment, maintenance, and termination activities.
• Develop and maintain data quality frameworks, standards, controls, and KPIs.
• Identify data quality issues through analytics, audits, monitoring, and stakeholder feedback.
• Perform root cause analysis of provider data defects and recommend corrective actions.
• Establish ongoing QA and validation to improve provider record accuracy.
• Drive remediation for provider data discrepancies and systemic issues.

Skills

Analytical thinking

Problem solving

Communication

Education

Bachelor's degree (Business Admin / Healthcare Admin / Information Management / Data Analytics / Health Informatics)

Tools

Excel

Power BI

SQL

Job description

Alignment Health is seeking a Sr. Data Quality Analyst, PDM to drive data quality across provider records, directory, and governance. You’ll partner with Operations, Credentialing, and Compliance to ensure accurate, regulation-ready data and reduce risk across systems.

You will define KPIs, develop dashboards, perform root cause analyses, and lead remediation plans while guiding data transformation initiatives across the organization.