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Healthfirst Logo Healthfirst · IT - Administration

Healthcare Operations Analyst (Provider Data)

United States Employment contract 51000.00 - 80070.00 USD / Year · Job Posted May 29, 2026
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Job Description

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
  • Experience supporting QA/UAT testing initiatives.

What we offer

  • Medical, dental and vision coverage
  • Incentive and recognition programs
  • Life insurance
  • 401k contributions
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