Provider Enrollment Business Analyst

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.

• The Provider Enrollment Business Analyst serves as the analytical backbone of the Provider Enrollment department. This role supports data-driven decision-making by generating, validating, and presenting key performance indicators (KPIs), trends, and insights related to provider enrollment operations. The Data Specialist works closely with team leads, supervisors, and cross-functional stakeholders to ensure the department has clear visibility into operational performance, payer turnaround times, and compliance metrics. This role utilizes a variety of platforms—including Health Information Systems (HIS), CredStream, and internal databases—to build data storylines, develop executive-level performance review decks, and validate the accuracy of reported performance.

• Create, maintain, and distribute recurring reports and dashboards to track provider enrollment volume, cycle time, backlog, and payer responsiveness.
• Develop PowerPoint presentations and executive summary decks for internal and client-facing performance reviews, highlighting enrollment trends, SLAs, and operational KPIs.
• Validate provider enrollment data to ensure reporting accuracy and data integrity across systems, dashboards, and presentations.
• Analyze and summarize performance trends, identifying key areas of success and improvement.
• Partner with Provider Enrollment leadership to support strategic planning, team metrics, and departmental goals.
• Generate ad hoc reports to support payer performance reviews, compliance audits, and process improvement initiatives.
• Use data from HIS platforms, internal tracking systems, and credentialing tools like CredStream to compile story-driven reports.
• Collaborate with IT, data, and analytics teams to optimize data sources and streamline automation of reporting processes.
• Maintain standardized documentation for reporting processes and data definitions.
• Ensure compliance with payer requirements, company policies, and regulatory guidelines in all reporting activities.
• Support special projects and perform other duties as assigned.
• Perform special projects and other duties as assigned.

• Bachelor’s degree in Healthcare Administration, Business, Data Analytics, or a related field preferred.
• 2+ years of experience in a healthcare or RCM data analytics/reporting role.
• Experience with provider enrollment, credentialing workflows, or payer interactions is highly desirable.
• Advanced Excel skills required; experience with Power BI, Tableau, or similar reporting tools is a plus.
• Strong proficiency in PowerPoint for building data-driven executive presentations.
• Familiarity with HIS platforms and credentialing software (e.g., CredStream) preferred.

• Solid understanding of provider enrollment processes and revenue cycle workflows.
• Strong data validation, reconciliation, and QA skills to ensure reporting accuracy.
• Ability to create visually engaging, insightful presentations for leadership and client audiences.
• Excellent analytical thinking and problem-solving skills.
• High attention to detail with a commitment to data consistency and quality.
• Excellent written and verbal communication skills.
• Strong time management skills with ability to manage multiple deadlines.
• Ability to work independently and collaboratively in a team-oriented environment.
• Understanding of HIPAA and data security standards.
• High attention to detail and commitment to accuracy.
• Collaborative, team-oriented mindset with a professional and tactful demeanor.
• Self-starter who can work independently while contributing to team goals.
• Ability to maintain strict confidentiality of sensitive provider and organizational data.
• Ability to ensure the complex enrollment packages are complete and correct.
• Ability to work cohesively in a team-oriented environment.
• Ability to foster good working relationships with others both within and outside the organization.
• Ability to work independently and require little supervision, to focus on and accomplish tasks.
• Ability to maintain strict confidentiality with regards to protected provider and health information.
• Ability to take initiative and effectively troubleshoot while focusing on innovative solutions.
• Ability to exercise sound judgment and handle highly sensitive and confidential information appropriately.
• Ability to remain flexible and work within a collaborative and fast paced environment.
• Ability to communicate with diverse personalities in a tactful, mature, and professional manner.

Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
 
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
 
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.

Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/. 

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