What are the responsibilities and job description for the LTSS Provider Data & Operations Analyst position at Professional Management Enterprises?
Title:LTSS Provider Data & Operations Analyst
Location:Remote within Indiana 25% Travel
Hours:Standard business hours M-F 8am-5pm
Benefits:Health, dental, and vision benefits, 80 hours of PTO, 10 paid holidays, 401k, and supplemental insurance
About the RoleAs theLTSS Provider Data & Operations Analyst, you'll be the go-to expert for ensuring the accuracy, integrity, and optimization of provider data that powers our Long-Term Services and Supports (LTSS) network. Your work will directly impact how providers are onboarded, supported, and connected to the individuals they serve.
You'll analyze complex datasets, resolve data issues, improve processes, and work closely with both internal teams and external partners to ensure smooth operations and regulatory compliance. This is a role for someone who is detail-oriented, analytical, and collaborative - with the drive to turn data into actionable insights that improve outcomes.
What You'll Do- Analyze LTSS provider data to track performance, identify trends, and create actionable reports for leadership and partners.
- Conduct regular audits to identify data discrepancies, assess downstream impacts, and implement corrections.
- Build dashboards and visual tools to support decision-making and monitor provider network health.
- Serve as the Subject Matter Expert for LTSS provider data load requirements, ensuring accuracy and consistency across systems.
- Partner with LTSS Provider Relations leadership to make provider data updates and resolve related issues.
- Maintain alignment between Facets, SPS, and other downstream systems to prevent data conflicts.
- Manage and resolve provider data tickets submitted by the local LTSS Provider Relations team.
- Collaborate with operations teams to improve provider data workflows and service delivery processes.
- Work closely with Provider Data Solutions (PDS) teams to align policies, procedures, and desktop processes.
- Lead provider data review meetings to discuss audit results, upcoming changes, roster submissions, and DART loads.
- Bachelor's degree in Health Administration, Data Analytics, or related field (Master's preferred).
- 2-3 years of experience in data management, healthcare operations, or similar role.
- Proficiency in Excel and experience with SQL, Tableau, or similar data tools.
- Understanding of LTSS programs, provider operations, and related regulations.
- Strong communication skills and the ability to work with multiple teams.
- Exceptional attention to detail and a commitment to data integrity.
- Healthcare industry experience, ideally with LTSS or Medicaid programs.
- Experience with Snowflake and/or advanced SQL queries.
- Strong Excel skills, including pivot tables, lookups, and data modeling.
- Ability to manage multiple priorities independently.
- Project leadership experience.
It is the policy of the Company to provide equal employment opportunities to all qualified individuals and to administer all aspects and conditions of employment without regard to the following:
• Race and associated traits, including hairstyle; Color, Age, Sex, Sexual orientation, Gender, Gender identity and gender expression; Religion, including dress and grooming practices; National origin, including language use restrictions; Pregnancy, childbirth, or breastfeeding; Marital or familial status; Genetic information, including family medical history; Physical or mental disability; Citizenship and/or immigration status
• Medical conditions, including cancer, AIDS/HIV, and occupational pneumoconiosis without respiratory impairment
• Denial of family or medical care leave
• Use of a guide or support animal
• Military or veteran status
• Political activities or affiliations
• Exercise of civil rights
• Domestic violence, assault, or stalking victim status
• GED certificate
• Arrest, expunged, or sealed records
• Application for or enrollment in Medi-Cal
• Status as a smoker or non-smoker
• Credit report or credit information
• Child or spousal support withholding
• Wage garnishment for consumer debt
• Relationship with someone with a disability
• Lawful conduct occurring during nonworking hours not on Company premises
• Any other protected class, in accordance with applicable federal, state, and local laws
Discriminatory, harassing, or retaliatory behavior is prohibited from coworkers, supervisors, managers, owners, and third parties, including clientele. The Company takes allegations of discrimination, harassment and retaliation very seriously and will promptly conduct an investigation when warranted. Equal employment opportunity includes, but is not limited to, employment, training, promotion, demotion, transfer, leaves of absence and termination.
