Network Data Steward
Listed on 2026-03-01
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Healthcare
Healthcare Administration, Healthcare Management
Employment Type: Full time
Shift: Day Shift
NETWORK DATA STEWARD
GENERAL SUMMARY AND PURPOSEThe Network Data Steward is the accountable owner for the accuracy, completeness, and timeliness of provider and roster data used across the clinically integrated network (CIN). This role ensures source-of-truth alignment between internal systems and external partners (payers, delegated entities, credentialing, directories) by governing intake, validation, and publication of provider demographics, affiliations, panels, locations, specialties, and network participation statuses. The Data Steward operationalizes data standards, monitors data quality (DQ) metrics, drives remediation, and enables compliant reporting for value-based contracts, network adequacy, and provider directory requirements.
The position collaborates cross-functionally with Credentialing, Contracting, Analytics, IT, Provider Relations, and Payer Operations to sustain a trustworthy network dataset that underpins care access, attribution, and performance.
Bachelor’s degree in Information Systems, Health Informatics, Healthcare Administration, Business, or related field; or equivalent experience.
3+ years of experience in provider data management, roster processing, payer/provider operations, credentialing data, MDM, or healthcare data governance.
Strong understanding of provider data domains (NPI, TIN, taxonomy, specialties, locations, affiliations, effective dating, network participation).
Proficiency with Microsoft 365 (Excel—lookups, pivot tables, Power Query), and comfort with CRMs/ticketing tools and data visualization (Power BI/Tableau).
Excellent attention to detail, documentation discipline, and ability to manage multiple deadlines.
Familiarity with credentialing and directory standards (e.g., NCQA), CMS/State directory requirements, and payer roster specifications.
Working knowledge of SQL for data validation/extracts and data reconciliation.
Exposure to MDM platforms or provider data tools (e.g., Informatica MDM, Reltio, IBM, symplr, One Health Port , CAQH, or payer portals).
Work with the Business Intelligence (BI) team to update Master Provider Index (MPRI) to allow capture and reporting of new data elements required by applicable laws, regulations and guidelines.
Design and update the network Provider Information Sheet to allow for data collection and capture changes required for changes in network focus and applicable laws, regulations and guidelines.
Setup/Terminate network plans in MPRI, TIN plan load, and ensure timely payer reporting.
Serve as MPRI system SME for various internal entities relative to its data definition and field relationships.
Review reported instances of network data not printing appropriately on the SAHA/SAHS websites and work with the appropriate parties to ensure accurate data reflection.
Supply network data information on request.
Own end-to-end roster intake (payers, credentialing, practices), normalization, validation, and ingestion to the CIN’s master provider dataset (MPD/MDM).
Maintain accurate provider demographic and practice data: NPI, TIN, specialty, taxonomy, locations, panels, accepting status, languages, affiliations, effective/termination dates, and payer network participation.
Process and track roster adds/terms/changes (ATC), ensuring audit trails, approvals, and timely publication to dependent systems and partners.
Coordinate directory updates and attestations; ensure data freshness within required cycles (e.g., 30–90‑day attestations, or payer‑specific cadences).
Support compliance with payer directory requirements, CMS/State rules, NCQA standards, and delegation agreements as applicable.
Prepare audit evidence, change logs, and monthly/quarterly reports.
Ensure PHI and sensitive data are handled per HIPAA and organizational policies.
Partner with BI to maintain data pipelines (ETL), implement data quality checks, and manage file exchange schedules (SFTP/API).
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