PDO Operations Analyst

Description and Requirements

The Operations Analyst - Optimization Team is responsible for driving efficiency, accuracy, and continuous improvement across provider data operations. This role analyzes workflows, identifies inconsistencies, supports cross-functional collaboration, and implements scalable solutions to enhance onboarding, reconciliation, and overall operational performance. The ideal candidate is analytical, detail-oriented, and proactive, with strong communication skills and the ability to translate data insights into actionable process improvements.

Key Responsibilities

Operational Optimization

• Analyze provider data workflows to identify inefficiencies, rework, and process gaps.
• Recommend and implement scalable solutions to improve turnaround times and reduce manual effort.
• Support initiatives focused on operational excellence and continuous improvement.

• Perform reconciliation of provider data across systems (e.g., PDM, Atlas, MHS, HRP).
• Identify discrepancies, conduct root-cause analysis, and partner with stakeholders to resolve issues.
• Ensure data integrity, consistency, and alignment across platforms.

• Participate in QA and UAT testing to validate provider data accuracy and system enhancements.
• Document findings and support issue resolution prior to production deployment.

• Analyze provider data trends and develop insights to support informed decision-making.
• Prepare reports and dashboards highlighting risks, performance metrics, and improvement opportunities.

• Develop and maintain job aids, standard operating procedures, and training materials.
• Support knowledge-sharing initiatives to improve consistency and team effectiveness.

• High School Diploma or GED from an accredited institution required; Associate's or Bachelor's degree in Business, Healthcare Administration, Data Analytics, or related field preferred.
• Experience working in Microsoft product suite, including Outlook, Word, PowerPoint and Excel
• Advanced Excel skills, including the ability to manipulate and create spreadsheets; standardize reports across multiple worksheets; utilize VLOOKUPs, XLOOKUPs, formulas, and functions; create, interpret, and analyze pivot tables; and apply filtering, conditional formatting, and data validation techniques to generate accurate and meaningful results.

• Bachelor's degree in Business, Healthcare Administration, Data Analytics, or related field (or equivalent experience).
• 2-4+ years of experience in healthcare operations, provider data management, or process optimization.
• Experience analyzing data trends and identifying inconsistencies or discrepancies across systems.
• Ability to perform data reconciliation and root-cause analysis to resolve operational issues
• Experience working in cross-functional environments and collaborating with multiple stakeholders.
• Strong written and verbal communication skills, including the ability to document processes and present findings clearly.
• Ability to manage multiple priorities in a fast-paced environment.
• Experience in managed care or provider network operations.
• Familiarity with PDM, provider onboarding workflows, or credentialing processes.
• Experience supporting QA/UAT testing initiatives.