Healthcare Provider Data Analyst | W2 Contract
Job Description Below:-
Role: Healthcare Provider Data Analyst
Location: Work From Home -candidates in either California or the same time zone as the facility. Torrance, CA
Assignment: 6-month assignment to start and possible ext. or perm, but based on company needs and performance/evaluation
Shift: M-F
Overview:
• The Network Operations Coordinator 2 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations.
• The Network Operations Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments.
• Performs computations.
• Typically works on semi-routine assignments.
• The Network Operations Coordinator 2 manages provider data for health plans, including but not limited to demographics, rates, and contract intent.
• Manages provider audits, provider service and relations, credentialing, and contract management systems.
• Executes processes for intake and manages provider-perceived service failures.
• Decisions are typically focused on the interpretation of the area/department policy and methods for completing assignments.
• Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Required Qualifications
• Less than 3 years of technical experience
• Proficiency in MS Office applications
• Possesses a strong attention to detail
• Ability to work in a deadline-driven environment
• Strong verbal and written communication skills
• Previous account management, project management, or related experience
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
• Associates' or Bachelor's Degree
• Prior experience working in the insurance industry
• Proficiency in MS Access
• Previous experience in claims
• Prior contract interpretation experience strongly desired
• Previous provider experience (provider contract, provider relations, or provider service)
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