NETWORK DATA STEWARD
GENERAL SUMMARY AND PURPOSE:
The 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.
SKILLS KNOWLEDGE EDUCATION AND EXPERIENCE:
Bachelors 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 (Excellookups 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 OneHealthPort CAQH or payer portals).
ESSENTIAL FUNCTIONS:
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 lawsregulationsand guidelines
Design and update the network Provider Information Sheet to allow for data collection and capture changesrequiredfor changes in network focus and applicable lawsregulationsand guidelines
Setup/Terminatenetwork plans in MPRI TIN plan load and ensuretimelypayer 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 theappropriate partiesto ensureaccuratedata reflection
Supply network data information on request
Own end-to-end roster intake (payers credentialing practices) normalization validation and ingestion to the CINs 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. 3090-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).
BENEFITS:
When Saint Alphonsus takes care of you you can take better care of our patients. We offer:
Medical Dental And Vision Coverage
Mental Health Resources - Colleagues and their household members each have access to six free counseling sessions and six free coaching appointments per calendar year.
Meaningful Retirement Benefits - 100% of your deferred contributions dollar-for-dollar up to 3% of pay PLUS 50% on the next 7% of pay. Trinity Healths maximum match is 6.5%.
Generous PTO plan
Our Commitment
Rooted in our Mission and Core Values we honor the dignity of every person and recognize the unique perspectives experiences and talents each colleague brings. By finding common ground and embracing our differences we grow stronger together and deliver more compassionate person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability veteran status or any other status protected by federal state or local law.
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity ... View more