Job Title:

Provider Data Analyst – Credentialing & Claims Support

Position Overview:

We are seeking a detail-oriented and collaborative Provider

Data Analyst to support our credentialing and claims operations. This role

involves converting and interpreting provider data, assessing claim routing,

and ensuring accurate provider profiles within our systems. The ideal candidate

will have a strong understanding of provider data, be comfortable working with

UB and CMs forms, and thrive in a dynamic, team-oriented environment.

Key Responsibilities:

Convert and validate provider data from credentialing sources.Read and interpret UB and CMs forms to determine provider status (contracted vs. non-contracted).Assess whether claims can be routed to existing provider profiles or if new profiles need to be created.Maintain and update provider data accurately in EZCap.Support the transition from QNXT to EZCap, ensuring data integrity and continuity.Collaborate with cross-functional teams and participate in cross-training initiatives.Take initiative in identifying process improvements and supporting team goals.

Qualifications:

Basic understanding of provider data and healthcare claims processes.Familiarity with EZCap (experience preferred).Ability to read and interpret UB and CMs forms.Strong attention to detail and organizational skills.Team player with a proactive mindset—no task is too small.Willingness to learn and adapt in a growing team environment.

Minimum Experience:

Minimum Experience Required 3+ years experience with benefits administration (i.e. configuration, set up, or implementation).Associate’s Degree - Associate's degree required, or in lieu of equivalent experience will be considered.Healthcare or pharmacy benefit management industry preferred. Previous managed care platform working knowledge (ie: EZCAP)

Work Environment

Work Monday to Friday, 8am to 5pm with a one-hour lunch. Fully remote

Pay and Benefits

The pay range for this position is $21.50 - $23.00/hr.

Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 15, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.