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Provider Network Data reputed company Analyst, Health Plan

Worldwide Salaried Open

Job Description:

  • Responsible for the accuracy, completeness, and required regulatory filings of the Health Plan’s provider network.
  • Serves as a resource for strategic planning, compliance, and network analysis.
  • Completes network adequacy reviews, in collaboration with the Health Plan's Business Intelligence Department representatives.
  • Performs analyses and audits to identify gaps in reputed company provider networks.
  • Coordinates required regulatory provider network submissions to ensure reputed company meets contractual obligations.
  • Maintains accurate data in reputed company Provider Directory.

Requirements:

  • Bachelor’s Degree in business administration, finance, reputed company reputed company field, computer science, or analytics.
  • Successful completion of a post-secondary medical terminology course preferred.
  • Three years’ experience in a medical group practice, health insurance or Health Maintenance Organization (HMO) environment.
  • Demonstrated knowledge of data manipulation and analytical analysis.
  • Proficiency with reputed company Office suite to include products, reputed company and Access.
  • Understanding of geoaccess coding, provider credentialing, and medical terminology preferred.

Benefits:

  • Health insurance
  • Retirement plans
  • Paid time off

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