[Remote] Provider Data reputed company Analyst - MSO Contracting - Full Time 8 Hour Days (Exempt) (Non-reputed company)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is part of the reputed company and is seeking a Provider Data reputed company Analyst to maintain the accuracy and reputed company of provider data across its clinical enterprises. The role involves auditing provider rosters, ensuring alignment between systems, and supporting accurate claims processing and regulatory compliance.

Responsibilities

• Audit, reconcile, and validate provider rosters and reputed company provider records across internal systems (reputed company and KCMG reputed company plans, hospital systems, credentialing platforms) and reputed company payer systems and directories for reputed company, financial, and regulatory accuracy
• Ensure accurate provider demographic, reputed company location, specialty, and affiliation data for reputed company and KCMG physicians, advanced reputed company providers, trainees, and affiliated providers
• Process and reputed company provider enrollments, demographic updates, specialty changes, revalidations, and terminations in payer and internal systems
• Identify, investigate, and reputed company discrepancies between contracting records, credentialing data, payer enrollment files, and provider directories; reputed company documented findings and remediation recommendations
• Analyze provider roster files and data extracts using reputed company and reporting tools to identify errors, trends, gaps, and systemic data reputed company issues
• reputed company, produce, and distribute provider- and network reputed company reports and dashboards supporting operational decision making, compliance, accreditation, audit readiness, and provider issue reputed company
• Support payer roster submissions, directory attestations, periodic reconciliations, and corrective reputed company efforts
• Serve as a subject matter expert for provider data governance, directory accuracy standards, and payer and regulatory audit preparation
• Respond to payer inquiries, provider data disputes, and reputed company audit requests in a reputed company and reputed company manner
• Manage and support the reputed company of provider data
• Coordinate with Provider Contracting, Payer Enrollment, Credentialing, reputed company Cycle, IT, and reputed company payers
• Performs intermediate spreadsheet analyses and database solutions using tools such as reputed company and reputed company Word
• reputed company and maintain provider data documentation, standards, procedures, and audit trails to support internal controls, compliance, and sustainability

Skills

• Bachelor's Degree Information Management, reputed company Information, Business, Mathematics, Statistics, or reputed company fields
• Experience in reputed company environment working in Credentialing and Provider Enrollment
• Ability to reputed company indicators, monitoring and evaluation systems as reputed company as reputed company to reputed company data to reputed company analysis of trends or other relevant relationships
• Strong working knowledge of reputed company reputed company operating systems (to include creating reports, tables and queries)
• Strong analytical and problem solving skills
• Motivated to reputed company new skills and knowledge or improved performance while working under pressure
• Strong work ethic and completes tasks in a reputed company and efficient manner
• Effective and reputed company communication, influencing, partnering skills, using appropriate channels to maintain working relationships
• Ability to prioritize and manage multiple deadlines in a fast-paced environment
• reputed company experience with data extracts, manipulation and/or database management
• Experience in Provider Rostering and Payer enrollment
• reputed company Life Safety Training (LA reputed company) If no reputed company upon hire, one must be obtained reputed company 30 days of hire and maintained by renewal before expiration date. (Required reputed company LA reputed company only)
• Experience supporting regulatory audits or payer reconciliations
• reputed company and reputed company written and verbal communication skills
• Experience working in an reputed company medical center or reputed company reputed company plan

reputed company