Analyze provider data workflows to identify inefficiencies, rework, and process gaps.
Recommend and implement scalable solutions to improve turnaround times and reduce manual effort.
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.
Participate in QA and UAT testing to validate provider data accuracy and system enhancements.
Analyze provider data trends and develop insights to support informed decision-making.
Develop and maintain job aids, standard operating procedures, and training materials.

High School Diploma or GED from an accredited institution required; Associate’s or Bachelor’s degree in Business, Healthcare Administration, Data Analytics, or related field preferred.
2–4+ years of experience in healthcare operations, provider data management, or process optimization.
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.
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.

PDO Operations Analyst

Key skills