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Provider Data Analyst Jobs

Assoc Analyst, Provider Config
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Maintains department standard for loading of provider demographic data with affiliation and contract assignment.
Audit loaded provider records for quality and financial accuracy and provide documented feedback.
Ensure that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.
Provider Data Analyst Jobs
By VillageCare At New York, NY, United States

Provider Data Analyst VillageCareMAX 120 Broadway, New York, NY 10271 VillageCare is looking for a motivated individual for our Provider Data Analyst position. The analyst will be required to perform ...

Lead Healthcare Provider Claims/Reimbursement Data Analyst (Hybrid - Troy, Mi) - Health Alliance Plan
By Henry Ford Health At , Troy
Demonstrated project management experience in running corporate wide projects.Knowledge of medical claims data and managed care membership data.
Minimum of three (3) years of experience in leading staff in projects or supervisory/management position preferred.
Develop, implement and maintain Charge Change Control Management Data Analytics.
Demonstrate analytical, planning, problem solving, verbal and written skills to communicate complex ideas
Bachelor’s degree in Business Administration, Economics, Health Care, Finance, Information Systems, Statistics or related field.
Demonstrated experience automating complex reporting processes and developing best practices and reporting standards.
Provider Research Analyst Jobs
By Sidecar Health At Ohio, United States
Strong organizational and time-management skills, with the ability to prioritize multiple tasks and meet tight deadlines.
Create comprehensive provider guides for your assigned service domain, including details on provider specialties, certifications, and pricing information
2+ years of experience in a similar role, preferably in the healthcare or insurance industry
Strong research and analytical skills, with the ability to quickly gather and analyze large amounts of data
Comprehensive Medical, Dental, and Vision benefits
Support members accessing affordable care for your assigned service domain by researching provider cash prices
Provider Data Analyst Ii
By MultiPlan Inc. At , Remote $18 - $24 an hour
JOB REQUIREMENTS (Education, Experience, and Training):
Communication (written, verbal, listening) organization, telephone, interpersonal, analytical and data entry skills
Minimum High School Diploma and 5 years' relevant experience; Bachelors' degree in a related field is preferred
Ability to use software, hardware and peripherals related to job responsibilities including MS Office products
Required licensures, professional certifications, and/or Board certifications as applicable
14. Ensure compliance with HIPAA regulations and requirements.
Analyst, Provider Business Operations
By Spring Health At , New York
Proven experience as a Business Analyst or data analyst in a healthcare, logistics, network management or service delivery context
Access to Gympass, an on-demand virtual benefit that provides wellbeing coaching, and budget management.
Knowledge of HIPAA regulations and data privacy considerations related to mental health data
This may be the fastest work environment you will ever experience in terms of growth, decision-making, and time to impact
Change is a constant here: your role, team, responsibilities, and success metrics will shift as the company grows
You will experience transparency, integrity, & humility from leadership
Provider Data Specialist_ Provider Network
By Versant Health At , Remote $18.50 - $20.00 an hour
One to three (3) years of data entry experience
Peer review of database revisions to meet Quality Check requirements
One to three (3) years of experience working with claims and/or provider demographic information
Experience working with provider networks and healthcare providers
Ability to use MS Excel and Access to manage work items and manipulate data, preferred
Previous experience in running a wide variety of Geo Access and/or Quest Analytics reports is preferred
Healthcare Business Analyst (Provider Data) - 100% Remote
By Curate Partners At Boston, MA, United States
Experience documenting business requirements for provider focused projects at health plans.
Collaborate with internal IT Teams to review requirements, answer questions, and resolve any open issues
Create and update business requirements matrix documentation
2-3 years Healthcare Payer industry experience
5-7 years of BA experience
Experience implementing a long-term provider directory solution.
Provider Data Analyst Jobs
By Elevance Health At United States
Generates provider data reports and analyses to support internal client needs including network management, sales, account management, and other key functions.
Experience using software such as GeoNetworks strongly preferred.
Provider data experience is strongly preferred.
Must also have strong skills in SQL and SQL queries.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Provider Data Analyst Jobs
By Elevance Health At Raleigh, NC, United States
Generates provider data reports and analyses to support internal client needs including network management, sales, account management, and other key functions.
Experience using software such as GeoNetworks strongly preferred.
Provider data experience is strongly preferred.
Must also have strong skills in SQL and SQL queries.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Provider Data Analyst Jobs
By Elevance Health At California, United States
Generates provider data reports and analyses to support internal client needs including network management, sales, account management, and other key functions.
Experience using software such as GeoNetworks strongly preferred.
Provider data experience is strongly preferred.
Must also have strong skills in SQL and SQL queries.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Provider Data Lead Jobs
By Alignment Health At California, United States
Review, assign, and validate provider update requests in internal ticket management system in collaboration with Provider Data Manager/Director
2-3 years’ experience in provider services, healthcare services or IT as clerk
Work with Provider Data Manager/Director on creating and maintaining provider data business rules to support operational activities
Ability to define, explain, and escalate potential issues that are identified to Provider Data Manager/Director for review and resolution
High School diploma or general education degree (GED)
Data entry minimum of 45 wpm
Provider Data Analyst (Healthcare)
By Akkodis At Los Angeles, CA, United States
(Remote – West Coast only)
· Identify, analyze, and interpret trends or patterns for methods to better benefit the Plan.
· Maintains an up-to-date and thorough knowledge of Client’s policies as related to provider contracting and operations.
· Supports Manager, Provider Network.
· Analytical Skills - Ability to use thinking and reasoning to solve a problem.
· Presentation Skills - Ability to effectively present information publicly.
Junior Provider Data Consultant - Remote ($56300.00 - $110400.00 / Year)
By Talentify.io At United States
Bachelor’s degree in business, health care management or related field; OR 4+ years of total work experience
Submit, monitor and release payment appendix templates through the Activity Manager application
Knowledge of the health care industry
Proven problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
Demonstrated ability to manage multiple high priority projects simultaneously
Knowledge and proficiency of facility and professional contracting process
Provider Data Analyst - Remote ($22.45 - $43.89 / Hour)
By Talentify.io At United States
Continued processing of inventory to upkeep current skill set
1+ years of experience within PPO as either RCL Superloader, non-delegated NDB loader or delegated NDB loader
Solid organizational skills with the demonstrated ability to prioritize and organize own work to meet deadlines
Experience with coaching or training
Experience with process improvement initiatives
Experience in analyzing policies and procedures
Healthcare Data Analyst - Provider Analytics
By CareCentrix At United States
Participate in tactical initiatives led by the Network Management department.
Introduce new Network Management employees to departmental analytic tools and reporting dashboards.
A Bachelor's degree in finance, economics, statistics, business, information systems or similar required.
1-3 years business experience preferably in the healthcare industry and/or a technical role.
Knowledge of standard health care metrics for payer and provider reporting preferred.
Ability to interpret and scope customer (internal and external) requirements.
Provider Network Data Analyst I
By AmeriHealth Caritas At , Raleigh, Nc
Management requirements are adhered to including language, terms and reimbursement requirements
Demonstrates a functional knowledge of provider data and managed care provider reimbursement methodologies.
Knowledge of Managed Care concepts
Responsible for the accuracy and timely management of the provider contracts
Bachelor’s Degree or equivalent education with work experience required.
Responsible for data intake process including knowledge of relevant systems required to complete job functions.
Provider Data Specialist (Remote)
By Providence At Vancouver, WA, United States
Be primarily responsible for the management of provider contracts
Serve as a contact for contracting, contracting questions & education
2+ years' experience in healthcare administration (I.e. Claims, Customer Service, Provider, Relations, or another related field)
3+ years experience working in claims processing
Required Qualifications For This Position Include
Preferred Qualifications For This Position Include
Data Mentor (Independent Service Provider)
By Masterschool At United States
A minimum of 5 years of experience as a data professional.
Proven experience in conducting interviews, preferably within the data industry.
Strong interpersonal and communication skills.
Experience in mentoring is a plus.
Utilize your connections to help students secure interviews with companies.
Conduct mock interviews, providing preparation, mock interviewing, and feedback.
Provider Data Representative - Remote
By Cigna At , Sunrise, 33323, Fl

Associate degree preferred and/or equivalent work experience