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Job Details

Job Title
: Data Analyst
Required Skills
: Advanced Excel, Data Analysis, R Programming, SQL
: 6 months

Job Description


  • Receives, researches and processes provider/location requests related to additions, changes and terminations and ensures all requests are logged in appropriate database for performance measurement.
  • Evaluates, researches and resolves complex provider data maintenance requests and issues. Understands the systems, business process and provider impact of alternative set-ups.
  • Evaluates, researches and resolves credentialing requests and issues. Understands the credentialing process and provider impacts of the credentialing process.
  • Assists management with database/data integrity issue research and recommends resolutions. Identifies trends related to data structure/set up and reports trends with proposed solutions to management.
  • Identifies opportunities to improve processes to ensure efficient turnaround of issues and meets and exceeds established deadlines and performance standards.
  • Develops and maintains departmental policies and procedures documentation related to provider data set up.
  • Educates providers on plan participation, eligibility and authorization processes through use of the Web or IVR.
  • Educates providers regarding contractual obligations.
  • Distributes provider/location contracts and follows up to ensure all appropriate contracts are executed prior to provider/location participation on a panel.
  • Develops and maintains direct relationships with claims department to coordinate return checks and ensure providers/location payment information is maintained to ensure efficient payments to providers.
  • Assists in ensuring all appropriate documentation is maintained in document management application.
  • Meets performance and quality metrics.
  • Implements/participates in other provider relations team projects as requested.

Preferred qualification:

  • Associate or Bachelor’s Degree
  • Customer service and/or data analysis experience
  • Experience within health care industry
  • Analytical ability in understanding business processes/impact of decisions
  • 3-5 mandatory and/or minimum requirements: SQL, R, Excel, experience with complex data cleansing
  • Integration and reconciliation, experience with process automation
  • 7+ years of experience focused on data analytics/management

Required Details

: 3-5 Years
Travel Required
: No
Clearance Required
: No

Contact Details

Contact person
: Uday Bhandary
: 678-675-1014

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