Provider Network Data Integrity Analyst, Health Plan

Sanford Health

Data Integrity Analyst ensuring accuracy of provider network for Sanford Health's Health Plan. Collaborating with teams for compliance and maintaining regulatory filings for network adequacy.

Posted 6/10/2026full-timeRemote • Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $24 - $39 per hourWebsite

About the role

Key responsibilities & impact

Responsible for the accuracy, completeness, and required regulatory filings of the Health Plan’s provider network.
Serves as a resource for strategic planning, compliance, and network analysis.
Completes network adequacy reviews, in collaboration with the Health Plan's Business Intelligence Department representatives.
Performs analyses and audits to identify gaps in current provider networks.
Coordinates required regulatory provider network submissions to ensure HP meets contractual obligations.
Maintains accurate data in HP Provider Directory.

Requirements

What you’ll need

Bachelor’s Degree in business administration, finance, healthcare related field, computer science, or analytics.
Successful completion of a post-secondary medical terminology course preferred.
Three years’ experience in a medical group practice, health insurance or Health Maintenance Organization (HMO) environment.
Demonstrated knowledge of data manipulation and analytical analysis.
Proficiency with Microsoft Office suite to include products, Excel and Access.
Understanding of geoaccess coding, provider credentialing, and medical terminology preferred.

Benefits

Comp & perks

Health insurance
Retirement plans
Paid time off

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data manipulationanalytical analysisgeoaccess codingprovider credentialingmedical terminology

Soft Skills

strategic planningcompliancenetwork analysis

Certifications

Bachelor’s Degreepost-secondary medical terminology course