Senior Analyst, Credentialing Quality & Data OperationsActive$69K–$90K

Hi, we're Oscar. We're hiring a Senior Analyst to join our Credentialing Quality & Data Operations Team.

What you'll do

• Perform complex operational work across credentialing, provider data, quality: assurance, and analytics following applicable requirements, policies, procedures, and service-level expectations.

• Evaluate practitioner and facility credentialing records, workflows, source: documentation, and system data for accuracy, completeness, timeliness, consistency, and compliance.

• Plan and complete risk-based or routine quality audits; select samples,: document evidence, score results, identify error patterns, and communicate clear, supportable findings.

• Analyze complex datasets using spreadsheets, reporting tools, database: queries, or other analytical methods to measure quality, productivity, timeliness, inventory, and operational performance.

• Build, maintain, and validate reports, dashboards, metrics, and monitoring: controls; investigate data anomalies and reconcile information across sources of truth.

• Perform root-cause analysis and translate audit results, data trends, and: operational insights into corrective and preventive actions, process improvements, and measurable recommendations.

What they're looking for

• Be a credentialing resource on practitioner and facility requirements,: including initial credentialing, recredentialing, verification, file review, committee preparation, delegated activities, and related provider data dependencies.
• Support remediation of complex quality, data, or credentialing issues; track: action plans through closure and validate that corrective actions are effective and sustained.
• Coach team members and share subject-matter guidance.
• Manage assigned projects, analyses, audits, escalations, and caseloads: independently while meeting quality, documentation, and timeliness expectations.