Senior Provider Data Analyst
Pay
$62 – $68 per hour
Work Setting
Remote/Telehealth
Job Speciality
Senior Provider Data Analyst
Location
Wisconsin
Work Schedule
Full Time
TL;DR
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Overview
We are seeking a Senior Provider Data Analyst to support network operations through data-driven insights, advanced analytics, and provider data management. This role serves as a technical and strategic bridge between healthcare data systems and business operations, ensuring the integrity, accessibility, and usability of provider data across enterprise platforms.
Key Responsibilities
Provider Data Management & Integrity
- Ensure the accuracy, completeness, and consistency of provider data across multiple systems (e.g., claims, credentialing, directory data)
- Identify and resolve data discrepancies through data remediation and process improvement initiatives
- Maintain compliance with HIPAA and data governance standards
Data Engineering & ETL Development
- Design, build, and optimize ETL processes to move and transform data across enterprise systems
- Develop and maintain complex SQL queries and data pipelines
- Work with large-scale healthcare datasets across platforms such as Facets, NDB, COSMOS, or similar systems
Analytics & Reporting
- Analyze provider network data including:
- Utilization
- Reimbursement trends
- Performance metrics
- Develop dashboards and visualizations using tools such as Tableau or Power BI
- Conduct advanced analysis to identify trends, anomalies, and opportunities for cost and performance improvement
Strategic Insights & Modeling
- Support forecasting, modeling, and strategic planning efforts
- Provide actionable insights to improve network efficiency, cost management, and operational performance
- Translate complex data into clear recommendations for leadership
Cross-Functional Collaboration
- Partner with teams across finance, operations, contracting, and IT
- Act as a subject matter expert for provider data and reporting solutions
- Support business initiatives through data validation, reporting, and system improvements
Qualifications
- Bachelor’s degree in Data Analytics, Computer Science, Mathematics, Finance, or related field
- 5+ years of experience in healthcare data analysis, specifically:
- Provider data
- Claims and eligibility data
- Strong technical skills:
- Advanced SQL (required)
- ETL tools (Informatica or similar)
- Data visualization tools (Tableau, Power BI)
- Python or scripting experience preferred
- Experience working in payer, managed care, or health system environments
- Strong understanding of data governance, integrity, and healthcare data workflows
- Excellent analytical, problem-solving, and communication skills
Heading
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