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The Operations Analyst – Optimization Team is responsible for driving efficiency, accuracy, and continuous improvement across provider data operations. This role analyzes workflows, identifies inconsistencies, supports cross-functional collaboration, and implements scalable solutions to enhance onboarding, reconciliation, and overall operational performance. The ideal candidate is analytical, detail-oriented, and proactive, with strong communication skills and the ability to translate data insights into actionable process improvements.
Job Responsibility
Analyze provider data workflows to identify inefficiencies, rework, and process gaps
Recommend and implement scalable solutions to improve turnaround times and reduce manual effort
Support initiatives focused on operational excellence and continuous improvement
Perform reconciliation of provider data across systems (e.g., PDM, Atlas, MHS, HRP)
Identify discrepancies, conduct root-cause analysis, and partner with stakeholders to resolve issues
Ensure data integrity, consistency, and alignment across platforms
Participate in QA and UAT testing to validate provider data accuracy and system enhancements
Document findings and support issue resolution prior to production deployment
Analyze provider data trends and develop insights to support informed decision-making
Prepare reports and dashboards highlighting risks, performance metrics, and improvement opportunities
Develop and maintain job aids, standard operating procedures, and training materials
Support knowledge-sharing initiatives to improve consistency and team effectiveness.
Requirements
High School Diploma or GED from an accredited institution required
Associate’s or Bachelor’s degree in Business, Healthcare Administration, Data Analytics, or related field preferred
Experience working in Microsoft product suite, including Outlook, Word, PowerPoint and Excel
Advanced Excel skills, including the ability to manipulate and create spreadsheets
standardize reports across multiple worksheets
utilize VLOOKUPs, XLOOKUPs, formulas, and functions
create, interpret, and analyze pivot tables
and apply filtering, conditional formatting, and data validation techniques to generate accurate and meaningful results.
Nice to have
Bachelor’s degree in Business, Healthcare Administration, Data Analytics, or related field (or equivalent experience)
2–4+ years of experience in healthcare operations, provider data management, or process optimization
Experience analyzing data trends and identifying inconsistencies or discrepancies across systems
Ability to perform data reconciliation and root-cause analysis to resolve operational issues
Experience working in cross-functional environments and collaborating with multiple stakeholders
Strong written and verbal communication skills, including the ability to document processes and present findings clearly
Ability to manage multiple priorities in a fast-paced environment
Experience in managed care or provider network operations
Familiarity with PDM, provider onboarding workflows, or credentialing processes