What are the responsibilities and job description for the Provider Network Data Integrity Analyst position at CommonSpirit Health?
The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
One Community. One Mission. One California
Responsibilities
***This position is remote.
Position Summary:
The Network Data Integrity Analyst is responsible for the maintenance of relevant provider data for use in network development and contracting, provider relations, marketing & communications, contracting, and more. Data maintenance includes creating new provider records and updating existing provider records. This role will also work with other network development teams to support provider data management across the CommonSpirit enterprise, including contracting and credentialing teams, to complete requests and support network operations. In addition, this role will support local Value Hubs in provider data management and will be responsible for leading end-to-end data management initiatives, tailored to the specific resourcing and needs of each Value Hub.
Responsibilities may include:
- Collect, validate, and maintain provider data to support marketing, provider relations, network contracting, credentialing across all lines of business.
- Ensure data integrity and accuracy by performing regular audits and updates; escalate data integrity issues for resolution as needed.
- Develops and maintains standards for database integrity, database alignment, and manages communication processes with other departments regarding database improvements.
- Identify and recommend process improvements to enhance data management efficiency and accuracy.
- Performs intake triage and responds to operations inquiries, escalates when necessary.
- Maintains and updates provider rosters for internal and external stakeholders.
- Troubleshoots provider load configuration issues based on testing results.
- Ensure provider data complies with federal, state, and local regulations.
- Generate reports and dashboards to support business needs, market requests, and regulatory requirements.
- Analyze provider data to identify trends, discrepancies, and opportunities for improvement.
- Assist in the development and maintenance of data management systems and tools.
- Provide technical support for data-related issues and inquiries.
Qualifications
Minimum Qualifications:
- Education or relevant work experience in Information Management, Healthcare Administration, or a related field
- Relevant experience in data management and maintenance
- Must be attentive to detail, accurate, thorough, and persistent in following through to completion all activities, demonstrating initiative for completing work assignments
- Ability to communicate effectively in verbal and written form
- A self-motivator with the ability to collaborate with multiple internal departments/teams
- Extensive knowledge of Microsoft Office applications; Excel, Word, Outlook, PowerPoint
Preferred Qualifications:
- Bachelor’s Degree or equivalent experience preferred
- Previous experience in maintaining provider data and/or experience in provider network operations strongly preferred
- Previous experience handling healthcare related data (e.g. patient data, claims, authorizations) a plus
- Ability to learn and use other provider data software such as Cactus, Salesforce, MD staff preferred
- SQL Server certification and prior experience preferred
- Statistical analysis and database skills a plus
