Provider Data Management Analyst II

Responsibilities

Analyze and maintain provider demographic, enrollment, and affiliation data across health plan systems, perform root cause analysis on data discrepancies, and support provider directory accuracy

Review, validate, and process provider enrollment, demographic, contract affiliation, and termination requests

Process large-scale provider rosters, performing data quality reviews and post-load validations

Investigate and resolve aging inventory items, data discrepancies, and operational escalations

Identify root causes and process gaps within provider data systems and drive issues through resolution

Collaborate cross-functionally with Contracting, Credentialing, Configuration, and Network Management business partners

Benefits

Medical, prescription, dental, vision, AD&D, and life insurance offerings (based on eligibility)

Short-term disability (based on eligibility)

A 401K plan (based on eligibility)

Fully remote role

Digital transformation and managed talent solutions provider.

Atlanta, Georgia, USA

https://www.randstaddigital.com

Distribution of Different Job Fields Receiving Sponsorship

94

Represents job field similar to this job

Engineering and Development

Management and Executive

Product Management

Customer Service and Support

Sales

Accounting and Finance

Creatives and Design

Marketing

Human Resources

Trends of Total Sponsorships

*2026

(712)

2025

(739)

2024

(821)

2023

(47)

Late Stage

Leadership Team

Qualifications

Bachelor's degree in a related field, or Associate's degree with 2+ years of healthcare data/operations experience (or equivalent experience)

2+ years of experience in provider data management, credentialing, claims processing, billing, or provider relations

High technical proficiency and strong systems savvy, including data analysis in MS Excel

Proven ability to analyze large datasets, identify root causes, and independently resolve complex data issues

Excellent written and verbal communication skills to effectively collaborate with stakeholders

Bachelor’s degree in a related field, or Associate’s degree with 2+ years of healthcare data/operations experience (or equivalent experience).

2+ years of experience in provider data management, credentialing, claims processing, billing, or provider relations.

Required skills

Represents the skills you have, click on the tags, Provider Data Management, Root Cause Analysis, Credentialing, Claims Processing, Medical Billing, Provider Relations

Experience

2+ years