Provider Data Analyst

DataAnalystJobs.io; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare company is seeking a Provider Data Analyst to maintain their Provider Data Network. The role involves collaborating with various teams to ensure accuracy in claims processing. The ideal candidate has a background in data management, excels in team collaboration, and possesses a relevant degree.

Benefits

401k retirement plan with employer-match

Paid Time Off

Sick Leave

Health & Welfare benefits package

Qualifications

• 3 years experience managing provider data.
• Proven ability to work with other business functions.
• Working knowledge of DHPR and CMS rules.

Responsibilities

• Maintain the Provider Data Network within EZCAP.
• Create and update provider records, collaborating with Contracting and Credentialing teams.
• Ensure end-to-end accuracy to pay claims accurately and timely.

Skills

Data Management

Collaboration

Claim Processing

Education

Bachelor’s Degree or equivalent experience

Job description

Overview

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

One Community. One Mission. One California

Responsibilities

The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes creating new provider records updating existing provider records and working with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims accurately and timely.

Qualifications

Minimum Qualifications:

• Minimum of 3 years experience managing provider data and working in EZCAP. Proven ability to work with other business functions. Working knowledge of DHPR and CMS rules for Claim. Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business.
• Bachelor’s Degree - Bachelor’s Degree or equivalent experience.