Senior Provider Data Quality & Governance Lead

alignmenthealthcare; United States; Remote; USD 120,000 - 170,000; Full time

Job summary

alignmenthealthcare is seeking a data governance lead to enhance provider data accuracy and integrity across contracting, credentialing, enrollment, maintenance, and termination. The role combines data analysis, process improvement, and cross-functional leadership to strengthen provider directories and support regulatory compliance.

You will design standards, build dashboards, and partner with business and technology teams to drive actions that improve member and provider experience.

Qualifications

• Five+ years in healthcare provider operations, provider data management, enrollment, credentialing, or related field.
• Three+ years leading data quality, governance, or integrity initiatives.
• Experience with provider directory operations and lifecycle processes.
• Strong knowledge of provider master data and healthcare workflows.
• Proficiency with Excel, Power BI, and SQL for analysis and reporting; Tableau or similar visualization tool.
• Excellent communication and presentation skills.

Responsibilities

• Develop provider data quality standards, controls, metrics, and validation processes.
• Analyze records, audits, monitoring results, and stakeholder feedback to identify defects and drive corrective action.
• Support provider directory accuracy programs and assist audits and regulatory reviews.
• Define provider data terms, ownership, and stewardship with business and technology partners.
• Build dashboards and reports to show data quality and operational results; present findings to stakeholders.
• Review provider operations end-to-end and lead improvements for accuracy and efficiency.

Skills

Excel

Power BI

SQL

Data analysis

Communication

Presentation

Problem solving

Tools

Tableau

Job description

alignmenthealthcare is seeking a data governance lead to enhance provider data accuracy and integrity across contracting, credentialing, enrollment, maintenance, and termination. The role combines data analysis, process improvement, and cross-functional leadership to strengthen provider directories and support regulatory compliance.

You will design standards, build dashboards, and partner with business and technology teams to drive actions that improve member and provider experience.