Provider Data Analyst Jobs

Create and maintain appropriate databases, including: contract network, authorization, third party liability, provider set up corrections, check requests, among others

Design and generate reports to monitor department activity and State compliance

Update the delegated entity Medicare and Medicaid Attachments on monthly basis

Provide appropriate reports and statistical data to other department designees for the necessary follow up and resolution

General administrative support of assigned department

Three (2) or more years of in data analytics, provider/customer relations, data entry, and/or project management required.

Manage Ticketing Que for current and future provider data from contracted entities

Assist in creating business rules, understanding specific requirements, and working with our team to create needed provider data extracts.

Experience with Provider data and roster data elements.

Experience in QNXT,FACETS,ALDERA, EZCAP, LOOMIS, or similar provider data/claims system

Work with team members to obtain mandatory data elements, updates, and any data improvements