Provider Data Management Analyst/Business Analyst I

Seeking a Business Analyst I to support a Healthcare Provider Data team. This role is responsible for analyzing provider contracts and accurately configuring provider data within claims payment systems to ensure providers are paid correctly. This is an excellent opportunity for someone with 1-2 years of healthcare business analysis, medical claims, provider data, or contract analysis experience looking to grow their career with a Fortune 50 healthcare organization. What You’ll Do

• Review provider contracts and identify required system configuration.
• Interpret payment terms, effective dates, and lines of business.
• Configure provider information within claims payment systems.
• Process new provider contracts and contract amendments.
• Collaborate with Contracting, Provider Data, and Claims teams.
• Ensure provider information is accurate and complete.
• Meet turnaround expectations of 1-3 business days per case.
• Support provider network expansion initiatives.

• Bachelor’s degree or equivalent experience
• 1+ year of healthcare experience
• Medical Claims experience
• Provider Data experience
• Contract interpretation experience
• Intermediate Microsoft Excel
• Excellent attention to detail
• Strong written and verbal communication skills

Preferred Qualifications

• Amisys experience
• Healthcare payer experience
• Business process documentation
• Data analysis
• Requirements gathering
• Agile exposure

Top Skills

• Medical Claims
• Provider Data
• Contract Analysis
• Healthcare Operations
• Microsoft Excel
• Data Validation
• Business Analysis

• Attention to Detail, Must be able to work Eastern Time business hours. Compensation $33.00/hour W-2 Work Authorization

• Must be legally authorized to work in the United States.
• No current or future sponsorship available.
• No C2C or third-party candidates