Provider Data Management Analyst 1

In this role, you will play a vital part in maintaining provider data across core systems, supporting provider directory accuracy, and ensuring healthcare networks run seamlessly. You will analyze datasets, identify and resolve discrepancies, assist with root-cause investigations, and collaborate with cross-functional partners across claims, credentialing, and network operations. Working in a supportive and deadline-driven setting, you will develop a deep understanding of managed care operations while applying your critical thinking and technical skills every day. Key Responsibilities: • Analyze, update, and maintain provider demographic, credentialing, and claims payment data across core systems. • Research and resolve data discrepancies using internal databases, web tools, and plan specifications to ensure full compliance. • Conduct quality service audits on systemic provider data, network directories, and claims payment setups. • Partner with claims, credentialing, and network teams to address root-cause issues and streamline processes. • Utilize Excel to organize datasets, validate information, identify discrepancies, and generate operational reports. Qualifications: • Bachelor’s degree; or Associate degree with 2+ years of relevant experience; or equivalent combination of education and experience. • 1+ years of experience in data analysis, data entry, or healthcare operations (managed care, billing, claims, or credentialing). • proficiency in Microsoft Excel (spreadsheets, formulas, filtering, and data reconciliation). • Sharp investigative and problem-solving skills with high attention to detail. • Familiarity with reporting platforms or tools such as SQL or Power BI is a plus. • communication skills, adaptability, and eagerness to learn new systems.

salary: $24.99 - $25 per hour shift: First work hours: 8 AM - 5 PM education: Associate

Responsibilities

• Analyze, update, and maintain provider demographic, credentialing, and claims payment data across core systems.
• Research and resolve data discrepancies using internal databases, web tools, and plan specifications to ensure full compliance.
• Conduct quality service audits on systemic provider data, network directories, and claims payment setups.
• Partner with claims, credentialing, and network teams to address root-cause issues and streamline processes.
• Utilize Excel to organize datasets, validate information, identify discrepancies, and generate operational reports.

Skills

• data analysis, data entry
• healthcare operations
• Microsoft Excel

Qualifications

• Years of experience: 2 years
• Experience level: Experienced

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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.