Data Specialist

• Administer and maintain databases supporting credentialing, privileging, and provider enrollment operations
• Serve as the functional and technical subject matter expert for credentialing database applications
• Monitor system performance and data quality
• Coordinate with software vendors and information technology teams on enhancements, upgrades, troubleshooting, and issue resolution
• Ensure database integrity, security, confidentiality, and compliance
• Develop and update system configurations, forms, templates, rosters, reports, and tracking mechanisms
• Support CAQH data, provider enrollment platforms, data governance, audits, NCQA/CMS/accreditation reporting, and provider directory data integrity
• Generate routine and ad hoc reports and data extracts
• Analyze and validate provider and credentialing data
• Maintain accurate provider data and support data governance efforts
• Provide training and ongoing support to database users
• Liaise with Medical Staff Services, operational leaders, information systems teams, and external vendors
• Support system implementations, upgrades, testing, and process improvement initiatives
• Participate in quality improvement initiatives and departmental projects
• Perform additional duties and special projects as assigned

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