Senior Analyst, Credentialing Data Operations

Oscar Health

. Perform complex operational work across credentialing, provider data, quality assurance, and analytics in accordance with applicable requirements, policies, procedures, and service-level expectations .

Posted 11/10/2026full-timeRemote • Arizona • United StatesSenior💰 $61,851 - $80,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare operations, credentialing processes, and data analysis, with a strong focus on quality assurance and compliance. Proficient in managing complex datasets and delivering actionable insights through effective reporting and communication.

Highest-signal resume keywords

Healthcare Operations ExperienceCredentialing Process KnowledgeData Analysis ProficiencyReport Building and Dashboard CreationRoot-Cause Analysis Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisCredentialingQuality AssuranceRoot-Cause AnalysisData ValidationProcess ImprovementOperational Performance MeasurementSpreadsheet ProficiencySQL ProficiencyData Reconciliation

Soft Skills

Attention to DetailJudgmentWritten CommunicationCollaborationIndependent Management of Priorities

Tools & Technologies

ExcelGoogle SheetsReporting ToolsBusiness-Intelligence PlatformsVisualization ToolsAudit-Management Systems

Certifications & Qualifications

Professional Certification in CredentialingHealthcare Quality CertificationAuditing CertificationCompliance CertificationData Analytics Training

Industry Keywords

NCQACMSCredentialing Verification OrganizationProvider OrganizationRegulated Healthcare Environment

Tech Stack

Tools & technologies

BigQuerySQL

About the role

Key responsibilities & impact

Perform complex operational work across credentialing, provider data, quality assurance, and analytics in accordance with 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
Analyze large or 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 systems or 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
Lead or support remediation of complex quality, data, or credentialing issues; track action plans through closure and validate corrective actions
Coach team members and share subject-matter guidance
Manage assigned projects, analyses, audits, escalations, and caseloads independently
Comply with all applicable laws and regulations
Report to the Senior Manager of Provider Operations Credentialing

Requirements

What you’ll need

3+ years of relevant experience in healthcare operations, credentialing, quality assurance or audit, provider data, data analysis, or a related field
Demonstrated ability to assess end-to-end processes, identify risks or data issues, perform root-cause analysis, and drive work to resolution
Intermediate proficiency with Excel or Google Sheets, including data validation, reconciliation, analysis, and clear presentation of findings
Strong attention to detail, judgment, written communication, and ability to explain complex findings to varied audiences
Ability to manage multiple priorities independently and collaborate effectively in a regulated, cross-functional environment
Demonstrated experience analyzing operational datasets and building reports or dashboards
Ability to learn credentialing concepts and data
Bonus: Experience in a health plan, delegated credentialing entity, credentialing verification organization, provider organization, or other regulated healthcare environment
Bonus: Proficiency with SQL, BigQuery, or a similar query language and experience working with large datasets, data models, visualization tools, or business-intelligence platforms
Bonus: Experience using credentialing, provider data, workflow, ticketing, or audit-management systems
Bonus: Knowledge of NCQA, CMS, state, federal, and delegated-oversight requirements relevant to credentialing operations
Bonus: Relevant professional certification or formal training in credentialing, healthcare quality, auditing, compliance, or data analytics

Benefits

Comp & perks

Employee benefits
Unlimited vacation program
Annual performance bonuses
Medical benefits
Dental benefits
Vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life insurance
Disability insurance
Paid wellness time and reimbursements
Occasional travel for team meetings and company events