Remote Network Data Specialist - Provider Plans & Networks

Banner Health; Denver (CO); Remote; USD 31,905 - 47,857; Full time

Benefits offered by this job

Competitive wages

Paid orientation

Flexible Schedules

Employee Assistance Program

Job summary

A healthcare organization is seeking a Remote Network Data Specialist to manage provider demographic data and ensure accuracy within the system. The role involves validating provider information, assisting in network development, and addressing operational issues with providers. Candidates must have strong Excel skills and a background in healthcare planning or operations. This position is fully remote, requiring self-motivated individuals to meet productivity metrics across multiple states including Colorado.

Qualifications

• Minimum of one year of provider network planning, process management, or operations experience.
• Strong knowledge of business and/or healthcare through provider relations experience.
• Understanding of managed care reimbursement strategies.

Responsibilities

• Maintains current and validated provider demographics and insurance data.
• Provides information regarding updates in the system support files.
• Assists internal departments in resolving provider and member appeals.

Skills

Strong Excel knowledge

Communication skills

Statistical analysis

Education

Bachelor’s degree in business, healthcare administration, or related field

Job description

A healthcare organization is seeking a Remote Network Data Specialist to manage provider demographic data and ensure accuracy within the system. The role involves validating provider information, assisting in network development, and addressing operational issues with providers. Candidates must have strong Excel skills and a background in healthcare planning or operations. This position is fully remote, requiring self-motivated individuals to meet productivity metrics across multiple states including Colorado.