Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, usage of multiple systems and applications to validate data is complete and accurate, and investigation and resolution of data issues.
Education/Experience: Bachelor’s degree in a related field, or Associate’s degree in related field or equivalent experience and 2+ years of provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.
• Set up and perform facility (hospitals and clinics) enrollment in the provider data management system
• Enroll providers and practitioners in the provider data management system
• Update facilities, providers, and practitioners with claims payment information
• Research, review and make updates within the provider data management system per provider requests
• Perform quality service checks on systemic data, inclusive of claims processing and provider directory information
• Perform research and resolve problems as necessary
• Train and mentor Provider Data Management Analyst I
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
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Story Behind the Need
- What is the purpose of this team?
- What is driving this need? (ex. Backfill for FTE or CW, new project, business growth)
- Describe the surrounding team (team culture, work environment, etc.) & key projects.
- Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?
This is a capacity/staffing need driven by workload and the need for analytical expertise.
What is the purpose of this team?
The Provider Data Management (PDM) team is responsible for maintaining accurate provider data across systems, supporting provider directory accuracy, managing provider data changes, and ensuring data integrity and regulatory compliance. The team partners with internal business, technical, network, claims, credentialing, and delegated entities to resolve provider data issues and improve processes.
What is driving this need?
The need is being driven by increased workload, ongoing data quality and process improvement initiatives, and the need for additional analytical capacity within PDM. The team requires a resource who can analyze large datasets, identify trends and root causes, support reporting and validation, and help drive complex issues to resolution. The temporary position is intended to provide immediate support with the potential to transition to a permanent role based on business need and performance.
Describe the surrounding team (team culture, work environment, etc.) & key projects.
PDM is a collaborative, fast-paced team that works across multiple lines of business and partners closely with business and technical teams. The team values accountability, attention to detail, problem-solving, continuous improvement, and the ability to work independently while collaborating effectively with others. Key work includes provider data quality and validation, provider directory accuracy, data analysis and reporting, system/process enhancements, delegated provider data management, and ongoing initiatives to improve operational efficiency and reduce rework.
Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?
This request is a backfill for a VSP position within the PDM team.
Typical Day in the Role
- Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD).
- What are performance expectations/metrics?
- What makes this role unique?
1. Walk me through the day-to-day responsibilities and a description of the project (outside of the Workday JD).
The Business Analyst II will support Provider Data Management through data analysis, research, validation, and process improvement initiatives. Day-to-day responsibilities include analyzing large datasets, identifying data discrepancies and trends, researching root causes, developing reports, validating system updates, and partnering with internal teams to resolve complex provider data issues. The role will also support ongoing efforts to improve data accuracy, streamline processes, reduce rework, and strengthen operational efficiency.
2. What are the performance expectations/metrics?
Performance will be measured by accuracy and quality of work, timely completion of assignments, ability to independently research and resolve issues, identification of root causes, and the ability to meet established deadlines. Additional expectations include strong attention to detail, effective communication, reliable reporting and validation, and the ability to manage multiple priorities while minimizing errors and rework.
3. What makes this role unique?
This role requires a combination of analytical thinking, problem-solving, and operational understanding. The ideal candidate must be comfortable working with complex data, connecting information across multiple systems, and translating findings into actionable solutions. Success requires someone who can quickly learn business processes, work independently with minimal direction, and adapt to changing priorities in a fast-paced healthcare environment. Experience with healthcare data or provider operations is a plus.
Candidate Requirements: Seeking a strong, analytical Business Analyst II who can quickly learn complex processes, independently analyze data, identify root causes and process gaps, and drive issues through resolution. Looking for someone who is highly detail-oriented, solutions-focused, comfortable working with large datasets and reporting tools, and able to effectively communicate findings and recommendations to both business and technical stakeholders. Healthcare/provider data experience is a plus.
Education/Certification
Required: Bachelor’s degree in a related field, or Associate’s degree in related field or equivalent experience and 2+ years of provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred.
Preferred:
Licensure
Required: N/A
Preferred:
Years of experience required: 3+ years of experience in business analysis, data analysis, healthcare operations, reporting, or a related analytical role.
Disqualifiers:
Additional qualities to look for:
- Top 3 must-have hard skills stack-ranked by importance
1
Advanced Excel & Data Analysis
2
SQL / Data Querying
3
Power BI / Data Visualization
Candidate Review & Selection
- Shortlisting process
- Candidate review & selection
- Interview information
- Onboard process and expectations
Projected Manager Candidate Review Date:
1-2 days post shortlisting
Type of Interviews:
Teams, phone, etc.
