Senior Analyst, Credentialing Quality & Data Operations

Oscar Health

. Perform complex operational work across credentialing, provider data, quality assurance, and analytics .

Posted 9/18/2026full-timeRemote • Arizona • United StatesSenior💰 $61,852 - $81,180 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in healthcare operations and credentialing, with a strong focus on quality assurance, data analysis, and compliance. Proficient in conducting audits, managing projects, and providing actionable insights to improve processes and outcomes.

Highest-signal resume keywords

Healthcare OperationsCredentialingData AnalysisQuality Assurance AuditsRoot-Cause Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ValidationData ReconciliationData AnalysisQuality AuditsReport BuildingDashboard CreationProcess ImprovementCorrective Action Follow-UpIntermediate Excel ProficiencyAnalytical Methods

Soft Skills

CoachingCommunicationProblem-SolvingTeam Collaboration

Tools & Technologies

ExcelGoogle SheetsReporting ToolsDatabase Queries

Industry Keywords

CredentialingProvider DataCompliancePrimary-Source VerificationHealthcare Quality

About the role

Key responsibilities & impact

Perform complex operational work across credentialing, provider data, quality assurance, and analytics
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 findings
Analyze complex datasets using spreadsheets, reporting tools, database queries, or other analytical methods
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 recommendations
Serve as a credentialing resource on practitioner and facility requirements, including initial credentialing, recredentialing, verification, file review, committee preparation, delegated activities, and provider data dependencies
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
Report to the Senior Manager of Provider Operations Credentialing
Perform other duties as assigned

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
1+ years of identifying risks or data issues, performing root-cause analysis, and driving work to resolution
Intermediate proficiency with Excel or Google Sheets, including data validation, reconciliation, analysis, and clear presentation of findings
Experience conducting healthcare credentialing quality audits, documentation, and corrective-action follow-up
Experience analyzing operational datasets and building reports or dashboards
Ability to learn credentialing concepts and data
Knowledge of practitioner and facility credentialing, including primary-source verification and regulatory requirements
Must reside in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories

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
Wellness reimbursements
Occasional travel for team meetings and company events