Strategic Solutions Analyst (Credentialing/Compliance)

Responsible for leading strategic initiatives, regulatory compliance reviews, and accreditation readiness across credentialing operations. Analyze complex data and build corresponding KPIs to identify risk-based opportunities. Apply Lean Six Sigma methodologies to improve operational efficiency. Lead and execute compliance audits and risk assessments across credentialing and operational workflows. Engage national credentialing teams holistically for continuous improvement initiatives. Provide cross-functional support and guidance. Prepare high-level reporting, including trend analyses, compliance insights, and strategic recommendations for leadership. Identify areas of compliance risk and recommend corrective actions. Develop and communicate audit frameworks, project plans, and timeline deliverables to cross-functional stakeholders. Conduct root cause analysis of compliance gaps and develop corrective action plans aligned with accreditation standards. Develop and maintain operational metrics dashboards to support compliance and accreditation objectives. Support full-cycle NCQA accreditation efforts, including survey readiness, documentation validation, and corrective action implementation. Drive awareness of evolving compliance requirements through education and policy/process optimization.

• Responsible for leading strategic initiatives, regulatory compliance reviews, and accreditation readiness across credentialing operations.
• Analyze complex data and build corresponding KPIs to identify risk-based opportunities.
• Apply Lean Six Sigma methodologies to improve operational efficiency.
• Lead and execute compliance audits and risk assessments across credentialing and operational workflows.
• Engage national credentialing teams holistically for continuous improvement initiatives.
• Provide cross-functional support and guidance.
• Prepare high-level reporting, including trend analyses, compliance insights, and strategic recommendations for leadership.
• Identify areas of compliance risk and recommend corrective actions.
• Develop and communicate audit frameworks, project plans, and timeline deliverables to cross-functional stakeholders.
• Conduct root cause analysis of compliance gaps and develop corrective action plans aligned with accreditation standards.
• Develop and maintain operational metrics dashboards to support compliance and accreditation objectives.
• Support full-cycle NCQA accreditation efforts, including survey readiness, documentation validation, and corrective action implementation.
• Drive awareness of evolving compliance requirements through education and policy/process optimization.

• Education: High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
• Additional Preferences: Associate's or Bachelor’s degree in Health-care, Business Administration, or a related field, preferred.
• Minimum of 2 years of professional experience in health-care compliance, credentialing governance, audit analytics, or regulatory operations, preferred.
• Minimum of 2 years of professional experience in an analyst role, or, demonstrated proficiency in compliance, credentialing, or audit management systems (e.g., MD-Staff, Smartsheet, Tableau, Power BI, preferred).
• Strong analytical and strategic thinking skills, with the ability to synthesize complex data into actionable solutions.
• Expert knowledge of Microsoft Excel & Google sheets. Able to create formulas, pivot tables, spreadsheets and draw conclusions from data.

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.