Senior Analyst, Credentialing Data Operations

About the Role:

• The Senior Analyst, Credentialing Data Operations supports the accuracy, quality, compliance, and continuous improvement of credentialing and provider operations.
• This role focuses on credentialing quality, operational and performance analytics for practitioner and facility credentialing.
• The Senior Analyst turns findings and data into clear recommendations, resolves complex issues, strengthens controls, and partners across teams to improve provider experiences, regulatory readiness, and member outcomes.

Responsibilities:

• Perform complex operational work across credentialing, provider data, quality assurance, and analytics in accordance with applicable requirements, policies, procedures, and service-level expectations.
• Evaluate practitioner and facility credentialing records, workflows, source documentation, and system data for accuracy, completeness, timeliness, consistency, and compliance.
• Analyze large or complex datasets using spreadsheets, reporting tools, database queries, or other analytical methods to measure quality, productivity, timeliness, inventory, and operational performance.

Requirements:

• 3+ years of relevant experience in healthcare operations, credentialing, quality assurance or audit, provider data, data analysis, or a related field.
• Demonstrated ability to assess end-to-end processes, identify risks or data issues, perform root-cause analysis, and drive work to resolution.
• Intermediate proficiency with Excel or Google Sheets, including data validation, reconciliation, analysis, and clear presentation of findings.