Data and Analytics Director (Hybrid)

Director, Provider Data & Analytics

📍 Location: Atlanta, Georgia (Hybrid – minimum 2 days per week in office)

About the Role

A leading healthcare organization is seeking a Director, Provider Data & Analytics to oversee provider data operations, reporting, analytics, and credentialing functions for a health plan. This leadership role is responsible for ensuring provider data integrity across multiple systems, managing reporting requirements, supporting network operations, and leading a team responsible for provider data maintenance and compliance.

Key Responsibilities

• Lead the Provider Data department, overseeing provider setup, record maintenance, audits, and staff management.
• Manage the credentialing function in partnership with Quality Improvement (QI) to ensure seamless provider data accuracy.
• Develop, validate, and deliver state, regulatory, operational, and ad hoc reports.
• Oversee encounter reporting development, submission, and ongoing reporting requirements.
• Support the production of provider network and GeoAccess reports for regulatory submissions.
• Monitor data integrity across multiple systems and collaborate with cross-functional teams to resolve discrepancies.
• Partner with Provider Relations, Claims, and Quality Improvement teams to address network and provider data issues.
• Develop operational dashboards, scorecards, and analytics to support business performance.
• Lead reporting initiatives that improve data quality and support strategic decision-making.
• Hire, coach, develop, and manage provider data team members.

Requirements

• Bachelor's degree in a related field or equivalent experience.
• 7 years of experience in provider data, healthcare analytics, health plan operations, or network management.
• Previous leadership experience managing teams, including hiring, coaching, and performance management.
• Strong experience with provider data management, reporting, and data integrity.
• Experience producing regulatory and operational reports within a healthcare or managed care environment.
• Ability to collaborate across Provider Relations, Claims, Credentialing, and Quality Improvement teams.
• Strong analytical, problem-solving, and stakeholder management skills.

Compensation & Benefits

• Salary: $113,100 – $209,100 per year
• Hybrid work arrangement (minimum two in-office days per week).
• Comprehensive health, dental, and vision insurance.
• 401(k) retirement plan and employee stock purchase program.
• Tuition reimbursement and professional development opportunities.
• Paid time off and company holidays.
• Flexible work environment with opportunities for career growth.