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Provider Data Analyst

CXCENTRODECONTACTO

Provider Data Analyst

Healthcare | Advanced English | On-Site

Location: Los Doctores, Monterrey, Nuevo León

Work Schedule: Monday to Friday

Work Modality: On-site

Employment Type: Full-time

Language Requirement: Advanced English

About the Role

One Call is looking for a detail-oriented and analytical Provider Data Analyst to join our team in Monterrey.

This position is responsible for the initial setup, loading, maintenance, and ongoing management of provider demographic, credentialing, and contracting information within the appropriate OneCall systems. The role ensures the accuracy, integrity, and availability of provider data while supporting business operations and regulatory requirements.

The ideal candidate is highly organized, analytical, comfortable working with large amounts of information, and able to communicate effectively with internal teams and external providers.

Key Responsibilities

Provider Data Management – 50%

  • Accurately load, enter, update, maintain, and validate provider data within OneCall systems.
  • Manage provider demographic, credentialing, contracting, and related information.
  • Activate, deactivate, and terminate provider records according to established policies and procedures.
  • Research, review, confirm, and make updates to provider information as requested.
  • Respond to inquiries and issues related to provider information and data accuracy.
  • Contact providers and other stakeholders by phone or email to obtain, clarify, or validate information.
  • Perform validation activities and quality checks to ensure provider data is complete and accurate.
  • Maintain appropriate documentation and records of provider data changes.

Data Integrity & Compliance – 25%

  • Maintain accurate databases and reporting related to provider network compliance and regulatory requirements.
  • Ensure provider data meets established accuracy, completeness, and quality standards.
  • Participate in reconciliation processes, data audits, and reviews of provider information.
  • Identify and investigate discrepancies between systems or data sources.
  • Ensure compliance with applicable policies and procedures when entering, updating, or loading provider data.
  • Escalate discrepancies, incomplete information, or requests that do not comply with established policies.

Additional Responsibilities

  • Support data-related projects, process improvements, and system initiatives.
  • Collaborate with internal departments and external stakeholders to resolve provider data issues.
  • Maintain confidentiality and appropriately handle sensitive information.
  • Follow One Call’s established provider data management processes and procedures.
  • Perform other duties and responsibilities as assigned.

Required Qualifications

  • General data management and data entry experience; experience in healthcare settings or provider operations is a plus.
  • General knowledge of U.S. healthcare operations and the workers' compensation industry is preferred.
  • Customer service experience is a plus.
  • Proficiency with computer systems is required, including Microsoft Office applications (Outlook, Word, Excel, PDF, etc.).
  • Advanced English proficiency, both written and verbal.
  • Ability to manage multiple priorities, meet deadlines, and work effectively in a fast-paced environment.
  • Ability to work independently while also collaborating effectively with internal teams and external stakeholders.
  • Ability to handle confidential and sensitive information with discretion.

Why Join One Call?

At One Call, you will have the opportunity to work in an international healthcare services environment, collaborate with teams across the U.S. and Mexico, and develop your expertise in provider data management, data quality, and healthcare operations.

Vacante publicada el 6 días atrás
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