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Provider Network Data Analyst Jobs

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 ...

Analyst, Network & Provider Analytics
By Point32Health At , Remote
Under direct supervision, conduct detailed analyses that offer the Provider Performance Management team insights into cost drivers and best practices
Bachelors in Business Administration, Finance, Health Services required; Masters preferred
Strong oral, written and presentation skills
Key Responsibilities/Duties – what you will be doing
Qualifications – what you need to perform the job
Work under direct supervision to generate and enhance standard cost and utilization reports
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 Configuration - Network Adequacy/Sql - Remote
By Molina Healthcare At , Long Beach, 90802 $54,922 - $107,099 a year

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees:

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
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 Network Specialist Jobs
By Premera Blue Cross At United States
Provide input on improvements regarding workflow, procedures, or policies and make recommendations to management.
Assure compliance with the National Committee for Quality Assurance (NCQA), Office of the Insurance Commissioner (OIC) and other regulatory agencies/requirements.
Three (3) years' experience in a production or customer service environment requiring attention to detailed procedures (Required).
One year of prior health care and provider information experience; medical office or billing experience.
Knowledge of other internal department operations or functions that assist in resolution of provider inquiries.
Experience in working with Microsoft Word and Excel.
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.
Provider Network Manager Jobs
By Elevance Health At United States
Contracts frequently involve non-standard arrangements that require a moderate level of negotiation skills.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Primary focus of this role is contracting and negotiating contract terms for value-based agreements.
Typically works with providers engaged in value-based arrangements and non-traditional provider types supporting SDOH initiatives and whole-health care delivery.
Deep understanding of Value based concepts understanding and innovative thoughts on health equity and whole-health.
Provider Network Executive Iii
By Premera Blue Cross At United States
Develop and execute ongoing account management and service strategy to meet corporate strategic/financial objectives.
Bachelor’s Degree or (4) years of experience in a provider or payer environment. (Required)
Knowledge of network development and provider/vendor network recruitment.
Knowledge of provider community and market anomalies.
Demonstrated ability to effectively manage complex contract negotiations.
Strong experience and expertise in Provider Relations.
Provider Network Account Specialist
By HonorHealth At Scottsdale, AZ, United States

network development or physician recruiting/sales

This is a Full-time position, but requires you to travel locally to meet with potential clients.

Medicare Network Account Provider Performance Analyst - Cigna Healthcare -Remote, Or
By Cigna Healthcare At Portland, OR, United States
Supporting the development, management and oversight of the physician/ provider network in his/her assigned territories
Developing time and cost effective territory management in compliance with department and enterprise goals.
Educating providers on the performance requirements associated with value-based contracts.
Direct experience with health plan operations, preferably specific to government sponsored health plans
Schedules, prepares for and participates in meetings with providers, provider staff, and/or physician leadership including creating and delivering presentations. 
Assisting in initiatives and performing special projects and other duties as assigned by leadership
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
National Provider Network Coordinator
By iCare Health Solutions At United States

Description The National Provider Network Coordinator will work closely with the Provider Recruiting and Contracting team(s) to organize recruitment efforts, providing analytical and administrative ...

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 Reporting Analyst
By Medical Mutual of Ohio At ,
1-year experience in health insurance provider operations/data management which includes exposure to network reporting or similar analytics.
2 years’ experience as a Provider Network Reporting Analyst or equivalent experience in health insurance provider operations/data management.
5 years progressive experience as a Provider Network Reporting Analyst or equivalent experience in health insurance provider operations/data management.
Bachelor’s degree in Business Administration, Statistics or related field or equivalent combination of training/education and experience.
Acts as a resource for colleagues with less experience
Knowledge of provider data structure, including tax ID, demographics, etc.

Are you looking for an exciting opportunity to use your data analysis skills to help shape the future of healthcare? We are looking for a Provider Network Data Analyst to join our team and help us develop and maintain our provider network. You will be responsible for analyzing data to identify trends, develop insights, and recommend strategies to optimize our provider network. If you are a data-driven individual with a passion for healthcare, this is the perfect job for you!

A Provider Network Data Analyst is responsible for analyzing and interpreting data related to provider networks. They are responsible for ensuring that provider networks are compliant with applicable laws and regulations, as well as ensuring that the network is optimized for cost, quality, and access.

What is Provider Network Data Analyst Skills Required?

• Strong analytical and problem-solving skills
• Knowledge of provider networks and healthcare regulations
• Proficiency in data analysis and reporting tools
• Excellent communication and interpersonal skills
• Ability to work independently and in a team environment

What is Provider Network Data Analyst Qualifications?

• Bachelor’s degree in a related field such as healthcare administration, business, or economics
• Experience in healthcare data analysis and/or provider network management
• Knowledge of healthcare regulations and laws
• Proficiency in Microsoft Office Suite and other data analysis tools

What is Provider Network Data Analyst Knowledge?

• Knowledge of healthcare regulations and laws
• Knowledge of provider networks and healthcare systems
• Knowledge of data analysis and reporting tools

What is Provider Network Data Analyst Experience?

• Experience in healthcare data analysis and/or provider network management
• Experience in analyzing and interpreting data
• Experience in developing and implementing provider network strategies

What is Provider Network Data Analyst Responsibilities?

• Analyze and interpret data related to provider networks
• Ensure compliance with applicable laws and regulations