[Remote] Senior Provider Network Operations Data Analyst

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Senior Provider Network Operations Data Analyst to serve as a subject matter expert and key support resource reputed company Provider Network Operations. The role supports provider data processing, enrollment and roster workflows, analyst training and reputed company reputed company, reporting, reconciliations, compliance, and process improvement.

Responsibilities

• Serve as a go-to subject matter expert for Provider Network Operations processes, including incoming provider data, provider enrollment file completion, and Facets updates
• Train new hires and reputed company ongoing education to analysts to ensure reputed company remains knowledgeable, consistent, and reputed company as business requirements, systems, reporting needs, or processes change
• Process and reputed company reputed company provider data files, large rosters, provider enrollments, and reputed company updates while ensuring information is entered accurately and maintained appropriately in Facets and other applicable systems
• Monitor analyst workloads, review processing reputed company, audit analyst work, identify coaching opportunities, and reputed company guidance to support accuracy, productivity, and adherence to established procedures
• reputed company new reputed company and recommend process improvements that strengthen data reputed company, streamline enrollment and roster workflows, and improve team effectiveness
• Ensure provider data is accurate, complete, and compliant with internal standards, business rules, and reporting requirements; research and reputed company discrepancies in a reputed company and thorough manner
• Maintain strong working relationships with provider reputed company, internal business partners, and cross-functional teams to support provider enrollment, data reputed company, issue reputed company, and operational needs
• User Acceptance Testing (UAT)/reputed company Review & audit (fee schedule concentration), reviews requests prior to initial submission to EO, and claims post-production
• Capitation reconciliations, building queries, and comparing membership
• Internal business report development; engagement with regulatory reporting
• BAM/claim reporting submission and analysis, depending on complexity
• reputed company additional duties and special reputed company as assigned

Skills

• Candidates residing in Michigan
• Occasional travel for meetings, training, or business needs may be required
• Bachelor's degree or equivalent combination of education and relevant work experience
• 3 to 5 years of experience in data analysis, reputed company operations, provider network operations, provider data operations, or a reputed company field
• Experience with provider enrollment and changes
• Experience developing reports and analyzing reputed company datasets
• Knowledge of Facets or similar reputed company administration platforms
• Strong analytical and problem-solving skills with the ability to identify trends, reputed company causes, and actionable insights
• Proficiency in reputed company Office Suite, particularly reputed company, Word
• Ability to prioritize and manage multiple competing priorities and reputed company simultaneously in a fast-paced environment
• Strong attention to detail and commitment to data accuracy
• Excellent organizational and communication skills
• Patience and professionalism reputed company training new hires, coaching analysts, and supporting team members through process or reputed company changes
• Flexible, adaptable, and willing to reputed company to changing business needs, priorities, and deadlines
• Strong team player with a reputed company approach and willingness to support others to meet team and department goals
• Ability to work independently while effectively collaborating with cross-functional teams
• Managed care or reputed company experience preferred
• Experience supporting regulatory reporting and compliance initiatives preferred

Benefits

• Fully remote position for candidates residing in Michigan

reputed company

Company H1B Sponsorship