Healthcare Operations Analyst (Provider Data)

Healthfirst is a healthcare company focused on improving operational efficiency. The Operations Analyst – Optimization Team is responsible for enhancing provider data operations through analysis, workflow optimization, and collaboration to drive continuous improvement.

Responsibilities:

• Analyze provider data workflows to identify inefficiencies, rework, and process gaps
• Recommend and implement scalable solutions to improve turnaround times and reduce manual effort
• Support initiatives focused on operational excellence and continuous improvement
• Perform reconciliation of provider data across systems (e.g., PDM, Atlas, MHS, HRP)
• Identify discrepancies, conduct root-cause analysis, and partner with stakeholders to resolve issues
• Ensure data integrity, consistency, and alignment across platforms
• Participate in QA and UAT testing to validate provider data accuracy and system enhancements
• Document findings and support issue resolution prior to production deployment
• Analyze provider data trends and develop insights to support informed decision-making
• Prepare reports and dashboards highlighting risks, performance metrics, and improvement opportunities
• Develop and maintain job aids, standard operating procedures, and training materials
• Support knowledge-sharing initiatives to improve consistency and team effectiveness

Requirements:

• High School Diploma or GED from an accredited institution required
• Experience working in Microsoft product suite, including Outlook, Word, PowerPoint and Excel
• Advanced Excel skills, including the ability to manipulate and create spreadsheets; standardize reports across multiple worksheets; utilize VLOOKUPs, XLOOKUPs, formulas, and functions; create, interpret, and analyze pivot tables; and apply filtering, conditional formatting, and data validation techniques to generate accurate and meaningful results
• Bachelor's degree in Business, Healthcare Administration, Data Analytics, or related field (or equivalent experience)
• 2–4+ years of experience in healthcare operations, provider data management, or process optimization
• Experience analyzing data trends and identifying inconsistencies or discrepancies across systems
• Ability to perform data reconciliation and root-cause analysis to resolve operational issues
• Experience working in cross-functional environments and collaborating with multiple stakeholders
• Strong written and verbal communication skills, including the ability to document processes and present findings clearly
• Ability to manage multiple priorities in a fast-paced environment
• Experience in managed care or provider network operations
• Familiarity with PDM, provider onboarding workflows, or credentialing processes
• Experience supporting QA/UAT testing initiatives