United States onlyThe Senior Provider Business Analyst plays a critical leadership role in advancing the strategy, systems, and operations that support provider credentialing, contracting, and lifecycle management.
Requirements
- Lead and oversee large project implementations and upgrades of provider management platforms
- Manage Business Data Governance Committee to instill data standards and accuracy
- Serve as a subject matter expert (SME) on provider management platforms, credentialing/contracting/directory data/provider relations workflows, and regulatory standards
- Collaborate with cross-functional teams to design and implement scalable solutions that improve provider onboarding, data integrity, and operational efficiency
- Manage vendors to adhere to SLA and performance measures to ensure compliance
- Apply strong analytical and problem-solving skills to identify, analyze, and resolve complex business issues related to provider management
- Monitor production and test environments, proactively identifying and resolving issues to ensure optimal system performance
- Write efficient, insightful reports utilizing SQL to inform decision-making and monitor key performance indicators
- Mentor junior analysts and contribute to the development of department policies, procedures, and training materials
- Drive continuous improvement initiatives by leveraging data insights, stakeholder feedback, and industry trends
- Support NCQA or URAC Accreditation efforts by maintaining high standards for provider network, data, and credentialing
Benefits
- Comprehensive medical, dental and vision benefits
- 401(k) plan with employer contribution
- Annual incentive bonus plan
- Paid holidays, paid time off and volunteer time off
- Professional development courses and tuition reimbursement program
- Paid parental leave and adoption leave with adoption financial assistance
- Employee discount program
