Provider Data Management Data Analyst
About Altais:
At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people.
Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.
About the Role
Are you looking to join a fast-growing, dynamic team?
We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.
The Provider Data Management Data Analyst is responsible for analyzing, maintaining, and validating provider data with a focus on credentialing and health plan provider roster creation. This role ensures provider information is accurate, complete, consistent, and aligned across internal systems, payer platforms, and regulatory submissions. The analyst supports credentialing operations, roster production, data quality monitoring, audits, and process improvement initiatives.
You will focus on:
Provider Data Analysis and Quality
-
Analyze provider data to identify inaccuracies, missing information, duplicates, and inconsistencies.
-
Perform data validation, reconciliation, and quality assurance across multiple systems.
-
Review provider demographic, specialty, affiliation, licensure, credentialing, and participation information.
-
Track data-quality trends and recommend corrective actions.
-
Maintain data standards, definitions, procedures, and documentation.
Credentialing Data Management
-
Support provider onboarding, recredentialing, updates, and terminations.
-
Review credentialing data for completeness and alignment with organizational policies.
-
Validate licenses, certifications, specialties, malpractice coverage, affiliations, and other credentialing elements.
-
Identify credential expirations, missing documentation, and records requiring remediation.
-
Partner with credentialing teams to improve data accuracy and operational efficiency.
-
Support compliance with applicable state requirements, CMS guidance, and accreditation standards.
Health Plan Provider Roster Creation and Validation
-
Create and maintain provider rosters for submission to health plans and other external partners.
-
Extract, transform, format, and validate provider data according to payer-specific requirements.
-
Confirm roster accuracy for demographics, specialties, products, locations, affiliations, provider identifiers, and participation status.
-
Perform pre-submission quality checks and resolve exceptions before delivery.
-
Reconcile submitted rosters with source systems and health plan feedback.
-
Coordinate corrections, resubmissions, and status updates within established turnaround times.
-
Maintain roster templates, submission schedules, version controls, and applicable payer documentation.
Reporting and Analytics
-
Develop recurring and ad hoc reports related to credentialing status, roster accuracy, data completeness, and operational performance.
-
Monitor key performance indicators, such as data error rates, roster turnaround time, rejected records, and credentialing timeliness.
-
Use Excel, SQL, Power BI, or other analytical tools to transform data into actionable insights.
-
Document analytical methods, assumptions, exceptions, and findings.
-
Present results and recommendations to business partners and leadership.
Cross-Functional Collaboration
-
Collaborate with credentialing, provider operations, contracting, network management,