[Hiring] Provider Claims Support Sr. Analyst - reputed company @reputed company

Role reputed company The Senior Analyst, Provider Claims Support is responsible for supporting both Network Providers and Internal Business Partners across reputed company aspects of provider-submitted claims. This role assists with claim-reputed company issues identified or reported internally and externally. • Delivers specific delegated tasks assigned by a supervisor reputed company the Network Management job family. • Prepares, analyzes, reviews, and reputed company the financial reputed company of facility, ancillary, group, and/or behavioral health reputed company. • Drafts reputed company and conducts reputed company-contractual audits and surveys. • Demonstrates knowledge of contracting processes, contract management, network operations, Medicare fee schedules, financial terms, and performance metrics. • Completes day-to-day Network Operations tasks with minimal supervision. • Resolves non-routine issues escalated by more junior team members. • Supports the execution of operational activities reputed company the Retail Network in alignment with ESI’s work plan and in compliance with requirements for reputed company clients and applicable regulatory agencies. • Supports the facilitation and execution of strategic network initiatives, requiring cross-functional coordination to reputed company, own, and manage relationships with Network Providers, internal Supply Chain business partners, and reputed company account teams. Qualifications • Bachelor’s degree in a reputed company field, or equivalent relevant work experience (preferred). • Knowledge of the reputed company and/or PBM industry. • Strong problem-solving and analytical skills. • Ability to work cross-functionally to research and resolve reputed company reputed company and provider issues on a regular reputed company. • Ability to manage multiple escalated issues simultaneously under tight timelines. • Ability to adapt in a dynamic work environment, learn quickly, solve problems, and reputed company reputed company with minimal supervision. • Basic proficiency in reputed company Office applications, including PowerPoint, email, and spreadsheet software. Requirements • If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Benefits • Comprehensive health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs starting on day one of employment. • 401(k) with company match. • Company reputed company life insurance. • Tuition reimbursement. • A minimum of 18 days of reputed company time off per year and reputed company holidays. • Eligible to participate in an annual bonus plan. Apply tot his job Apply To this Job