Provider Network Analyst II - Remote

Overview

The Provider Network Analyst II ensures operational effectiveness by assisting in strategic and business planning, focusing on business, financial, and operational goals.

In Short

• Provide oversight to new contracts for timely claims system setup.
• Identify reimbursement issues and recommend solutions.
• Analyze provider database for data consistency.
• Review reports for pattern identification and trend analysis.
• Serve as the provider data representative in claims editing decisions.
• Assist in servicing key providers for rapid claims issue resolution.
• Communicate technical system changes and policies effectively.
• Mentor internal resources for cross-functional capability.
• Work independently and within a team environment.
• Perform any other job-related duties as requested.

Requirements

• Bachelor's degree or equivalent work experience required.
• Three years of provider contracts or claims experience required.
• Five to eight years of healthcare operations experience required.
• Proficient in Microsoft Office Suite.
• In-depth knowledge of Facets is a must.
• Excellent analysis and collaboration skills.
• Strong interpersonal and communication skills.
• Effective problem-solving skills with attention to detail.
• Ability to develop and prioritize goals.
• No specific licensure or certification required.

Benefits

• Comprehensive total rewards package.
• Potential for bonuses tied to performance.
• Supportive and inclusive work environment.
• Opportunities for personal and professional growth.
• Engagement in meaningful work that makes a difference.