Sr. Data Quality Analyst, PDM

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

Role overview

Lead efforts to improve the accuracy, integrity, and governance of provider data across its lifecycle, from contracting and credentialing through enrollment, maintenance, and termination. This role combines data analysis, operational process improvement, and cross-functional leadership to strengthen provider directories, support regulatory compliance, and improve member and provider experience.

Responsibilities

• Develop provider data quality standards, controls, metrics, and ongoing validation processes.
• Analyze records, audits, monitoring results, and stakeholder feedback to identify defects, investigate root causes, and direct corrective action.
• Support provider directory accuracy programs, track performance trends, and help prepare for audits, reporting, and regulatory or accreditation reviews.
• Define provider data terms, business rules, ownership, and stewardship practices with business and technology partners.
• Build dashboards and reports to show data quality performance and operational results; explain findings and recommendations to stakeholders and leaders.
• Review provider operations from end to end and lead improvements that increase data accuracy and efficiency.

Requirements

• Five or more years in healthcare provider operations, provider data management, enrollment, credentialing, network operations, or a related field.
• Three or more years leading data quality, governance, or integrity initiatives.
• Experience with provider directory operations, provider lifecycle processes, root cause analysis, and corrective action planning.
• Strong understanding of provider master data and healthcare provider workflows.
• Proficiency with Excel, Power BI, and SQL for analyzing data and developing reports or dashboards; experience with Tableau or a comparable visualization tool.
• Strong analytical, problem-solving, communication, and presentation skills, with the ability to translate findings into practical recommendations and manage competing priorities.

Nice to have

Experience with Quest Analytics, particularly network adequacy analysis; work in a health plan or managed care setting; support for CMS, NCQA, accreditation, or regulatory requirements; provider lifecycle platforms or data repositories; and data governance or master data management programs.

Benefits and work setup

The role requires availability during Pacific Time business hours. Employment sponsorship is not available.