Remote Provider Data Analyst: Data Quality & Compliance

UnitedHealthcare; Cypress (CA); On-site; USD 50,000 - 89,000; Full time

Benefits offered by this job

Telecommuter policy

Benefits package

Job summary

UnitedHealthcare is seeking a Provider Data Analyst to maintain the accuracy and integrity of provider data across enterprise systems. You will work with Credentialing, Claims, Customer Service, and Network Management to ensure records are complete, accurate, and compliant.

The role supports onboarding, demographic updates, contract maintenance, roster management, audits, and data quality initiatives. Remote work is available from anywhere in the U.S.

Qualifications

• 2+ years of managed care, healthcare administration, medical insurance, or provider operations experience.
• 1+ years in provider data management, claims, customer service, credentialing, or provider support.
• 6+ months of experience with provider rosters, demographic data.
• 6+ months of experience researching and resolving complex provider or claims-related issues.
• Advanced verbal and written communication skills with professional telephone etiquette.
• Intermediate proficiency with Microsoft Office applications, including Excel and Word.

Responsibilities

• Maintain accurate and compliant provider demographic, contract, and location data across enterprise systems.
• Process provider additions, updates, disclosures, roster changes, and terminations through Salesforce and other internal applications.
• Generate, validate, and distribute provider rosters, demographic verification reports, and client/regulatory reporting.
• Perform data audits, quality reviews, and provider demographic verification to ensure data integrity and compliance.
• Research and resolve provider data issues impacting claims, payments, and customer service, including provider verification requests and claims reprocessing.
• Investigate and resolve provider payment issues, including returned checks, billing address discrepancies, and levy requests.
• Collaborate with Claims, Credentialing, Customer Service, Finance, and Network Management teams to support provider data accuracy and operational effectiveness.
• Develop reports, support process improvement, and system enhancements.
• Support administrative functions, workload coordination, and shared team responsibilities to ensure timely completion of provider data activities.

Skills

Managed care experience

Provider data management

Data quality / audits

Data discrepancy resolution

Verbal & written communication

MS Office (Excel/Word)

Tools

NPPES NPI Registry

IRS Tax Matching Tools

UltraEdit

SharePoint

Microsoft Excel

Microsoft Word

Job description

UnitedHealthcare is seeking a Provider Data Analyst to maintain the accuracy and integrity of provider data across enterprise systems. You will work with Credentialing, Claims, Customer Service, and Network Management to ensure records are complete, accurate, and compliant.

The role supports onboarding, demographic updates, contract maintenance, roster management, audits, and data quality initiatives. Remote work is available from anywhere in the U.S.