Provider Operations Analyst II

Role Overview

• Develop queries to identify and quantify provider data issues within the organization
• Provide operations teams with analysis and oversight for all provider data, workflows, and processes
• Act as Subject Matter Expert (SME) for Provider Operations team on various initiatives/special projects
• Work cross functionally to integrate business processes and workflows
• Identify, develop, and implement reporting and/or business processes for data quality and compliance requirements
• Develop and monitor daily metrics for staff quality and productivity

Requirements

• Bachelor’s Degree or equivalent years of relevant work experience
• A minimum of three (3) years of health care or managed care experience
• Experience working on a Claims systems, preferably Facets
• Experience in provider relations, contracting, onboarding, credentialing, directories, pended claims, or configuration is highly preferred

Benefits

• Health insurance
• 401(k) matching
• Flexible work hours
• Paid time off
• Professional development opportunities
• Performance bonuses