Provider Data Analyst

About the job

Job Description: Type of Requisition: Regular

Clearance Level Must Currently Possess: None

Clearance Level Must Be Able To Obtain: None

Public Trust/Other Required: None

Job Family: Data Science and Data Engineering

Skills: Job Qualifications: Analytical Thinking, Data Governance, Process Improvements, Provider Network Management, Root Cause Analysis (RCA)

Certifications: None

Experience: 2 + years of related experience

US Citizenship Required: No

Job Description: GDIT is seeking a detail-oriented and technically proficient Provider Data Analyst to support the World Trade Center (WTC) Health Program, a limited federal health program administered by the National Institute for Occupational Safety and Health, part of the Centers for Disease Control and Prevention in the U.S. Department of Health and Human Services. In this critical role, you will support the governance, quality, and operational effectiveness of provider data across the health plan ecosystem. This role focuses on analyzing provider data trends, identifying systemic issues, and improving the processes that support provider onboarding, credentialing, claims adjudication, and provider directory accuracy.

Working closely with Provider Network Operations, Credentialing, Claims Administration, Member Services, and technology teams, the Provider Data Analyst evaluates provider data flows across systems and partners to ensure accuracy, consistency, and operational integrity.

Unlike operational provider data roles that focus on record maintenance, this position is responsible for identifying patterns, improving data processes, and supporting strategic decision-making related to provider data management.

HOW YOU WILL MAKE AN IMPACT Provider Data Governance & Quality

• Monitor provider data quality across operational systems and identify systemic data issues affecting claims payment, network participation, or provider directories.
• Develop and maintain data validation rules and quality checks to ensure provider data integrity.
• Analyze provider data discrepancies and lead root cause investigations.

Trend Analysis & Operational Insights

• Analyze trends in provider data errors, claims rejections, provider onboarding issues, and directory inaccuracies.
• Identify recurring operational problems and recommend process improvements.
• Develop dashboards and reports that provide visibility into provider data performance and quality metrics.

Cross-System Data Coordination

• Evaluate how provider data flows between systems including provider network management, credentialing, claims processing, and directory platforms.
• Identify data gaps, transformation issues, and inconsistencies across systems and external data partners.
• Support system enhancements and process improvements related to provider data integration.

Process Improvement

• Identify opportunities to streamline provider data intake, validation, and distribution processes.
• Partner with operational teams to implement improved workflows and controls.
• Support documentation and standardization of provider data management procedures.

Operational Support

• Serve as a subject matter resource for provider data questions across operational teams.
• Support investigations of provider data issues impacting claims payment or provider participation.
• Collaborate with provider data operational teams to resolve complex data problems.

Minimum Qualifications

WHAT YOU’LL NEED TO SUCCEED

• Bachelor’s degree in healthcare administration, data analytics, information systems, business, or a related field (or equivalent experience).
• 3–6 years of experience working with healthcare provider data, provider networks, credentialing operations, or health plan administration.
• Strong understanding of healthcare provider identifiers including NPIs, TINs, and service location structures.
• Experience analyzing operational healthcare data related to claims processing, credentialing, provider directories, or network participation.
• Strong analytical and problem-solving skills with the ability to identify systemic issues and trends.
• Advanced Excel skills including data analysis and reporting.
• Location: Hybrid
• Clearance: Must be able to obtain and maintain MBI T2 Public Trust

Preferred Qualifications:

• Experience working in a health plan, third-party administrator (TPA), or healthcare services organization.
• Familiarity with provider credentialing standards and verification processes.
• Exposure to provider data sources such as CAQH, credentialing vendors, or national provider databases.
• Experience working with data warehouses, SQL, or reporting tools such as Tableau or Power BI.
• Familiarity with healthcare accreditation or regulatory frameworks such as NCQA.

GDIT IS YOUR PLACE:

• 401K with company match
• Comprehensive health and wellness packages
• Internal mobility team dedicated to helping you own your career
• Professional scientific growth opportunities, including journal subscriptions, conference attendance, and supporting publication journey
• Cutting-edge technology you can learn from
• Rest and recharge with paid vacation and holidays

#GDITFedHealth

#GDITWTCJobs

The likely salary range for this position is $64,230 - $80,500. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Remote

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards At GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans