Provider Data Analyst

About the role

The Provider Data Analyst is a key member of the Provider Data Management team, responsible for maintaining the accuracy, integrity, and quality of provider data across enterprise systems. This role serves as the subject matter expert for provider demographic, ensuring that provider records are complete, accurate, and compliant with internal standards and regulatory requirements. The Provider Data Management team is responsible for managing the full lifecycle of provider data, including provider onboarding, demographic updates, contract maintenance, roster management, terminations, audits, and data quality initiatives. The Provider Data Analyst works closely with Credentialing, Claims, Customer Service, Provider Relations, Finance, Network Management, and external providers to ensure provider information is accurately reflected throughout all systems and downstream processes. This position plays a critical role in supporting provider network operations by researching and resolving provider data discrepancies, conducting data validation and quality assurance reviews, maintaining provider databases, processing provider updates and terminations, and supporting claims resolution activities resulting from provider data issues. The role also contributes to reporting, regulatory compliance, system enhancements, and process improvement initiatives designed to improve data accuracy and operational efficiency. Through proactive data management, analysis, and collaboration with cross-functional partners, the Provider Data Analyst helps ensure the integrity of the provider network, supports accurate claims processing and provider payments, and contributes to a positive provider experience.

Responsibilities

• Maintain accurate and compliant provider demographic, contract, and location data across enterprise systems
• Process provider additions, updates, disclosures, roster changes, and terminations through Salesforce and other internal applications
• Generate, validate, and distribute provider rosters, demographic verification reports, and client/regulatory reporting
• Perform data audits, quality reviews, and provider demographic verification to ensure data integrity and compliance
• Research and resolve provider data issues impacting claims, payments, and customer service, including provider verification requests and claims reprocessing
• Investigate and resolve provider payment issues, including returned checks, billing address discrepancies, and levy requests
• Collaborate with Claims, Credentialing, Customer Service, Finance, and Network Management teams to support provider data accuracy and operational effectiveness
• Develop reports, support process improvement, and system enhancements
• Support administrative functions, workload coordination, and shared team responsibilities to ensure timely completion of provider data activities

Skills

• Salesforce
• EyeManager (EM)
• NPPES NPI Registry
• IRS Tax Matching Tools
• UltraEdit
• SharePoint
• Microsoft Excel
• Microsoft Word

Requirements

• 2+ years of managed care, healthcare administration, medical insurance, or provider operations experience
• 1+ years of experience in provider data management, claims, customer service, credentialing, or provider support
• 6+ months of experience working with provider rosters, demographic data
• 6+ months of experience in researching and resolving complex provider or claims-related issues
• Advanced level of verbal and written communication skills with professional telephone etiquette
• Intermediate level of proficiency with Microsoft Office applications, including Excel and Word
• All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

Qualifications

• Ability to work independently while managing multiple priorities and meeting deadlines
• Strong organizational, analytical, and problem-solving skills

Benefits

In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). You'll find a far-reaching choice of benefits and incentives.

Pay

The hourly pay for this role will range from $