Analyst-Provider Data

Baptist Memorial Healthcare Corporation

Memphis, TN

JOB DETAILS
SKILLS
Analysis Skills, Auditing, Automation, Business Intelligence Software, Cactus, Communication Skills, Corrective Action, Crystal Reports, Data Analysis, Data Entry, Data Management, Data Migration, Data Quality, Database Technology, Demographics, Detail Oriented, Documentation, Financial Reporting, Government Organizations, Health Information Management, Healthcare, Healthcare Administration, Healthcare Providers, Information Systems/Technology IS/IT Administration, Information Technology & Information Systems, Maintain Compliance, Microsoft Excel, Multitasking, National Committee for Quality Assurance (NCQA), Network Systems, Onboarding, Power BI, Provider Contracting, Provider Credentialing, Quality Management, Record Keeping, Regulations, Regulatory Compliance, Regulatory Requirements, SQL (Structured Query Language), Standards Development, Systems Administration/Management, Tableau, Team Player
LOCATION
Memphis, TN
POSTED
Today

OverviewJob DescriptionThe Provider Data Analyst is responsible for maintaining the accuracy, consistency, and reliability ofprovider data within the credentialing and network database system. This role plays a critical part insupporting credentialing operations, provider onboarding, and regulatory compliance through datavalidation, system optimization, reporting, and cross-departmental collaboration. The analyst ensures thatprovider records are maintained according to established standards and supports initiatives to enhancedata governance across the organization.Job Responsibilities* Ensure integrity and accuracy of provider data across all credentialing software platforms (e.g.,MD-Staff, Cactus, Credential Stream), including demographic, licensure, certification, andprivileging information.* Conduct regular audits and data quality checks to identify discrepancies, duplicates, or incompleterecords and implement corrective actions.* Serve as a liaison between the credentialing team, IT, and system vendors for technicaltroubleshooting, updates, and improvements.* Develop and maintain custom and ad hoc reports to support credentialing, enrollment, privilegingand compliance needs.* Support process automation and workflow enhancements to improve data entry, tracking, andcommunication.* Manage user access rights, monitor data usage patterns, and ensure compliance with privacy andsecurity policies.* Document data management procedures, data definitions, and workflow standards to supporttraining and consistency.* Collaborate with teams across credentialing, provider enrollment, contracting, and quality to alignand streamline provider data practices.* Participate in system implementation projects, upgrades, and data migrations with attention todetail and data integrity standards.* Prepare documentation for audits and regulatory surveys related to data integrity and system configuration.* Completes duties as assigned.Required Qualifications:* Associate's or Bachelor's degree in Health Information Management, Information Systems, Healthcare Administration, or related field (or equivalent experience).* At least 2 years of experience working with credentialing databases or provider data systems in a healthcare environment.* Familiarity with credentialing processes and regulatory requirements (e.g., Joint Commission, NCQA).* Demonstrated experience with credentialing software such as MD-Staff, Cactus, or Echo.* Advanced proficiency in Microsoft Excel and report generation.Preferred Skills and Competencies:* Strong attention to detail and a proactive approach to data quality improvement.* Knowledge of provider data standards and healthcare provider lifecycle management.* Experience with SQL, Crystal Reports, or business intelligence tools (e.g., Power BI, Tableau) is a plus.* Excellent communication and collaboration skills across technical and operational teams.* Ability to manage multiple priorities in a fast-paced environment with minimal supervision.

About the Company

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Baptist Memorial Healthcare Corporation