Remote Provider Data Integrity Analyst II

Horizon Blue Cross Blue Shield; Newark (NJ); Remote; USD 63,000 - 84,000; Full time

Benefits offered by this job

Health benefits

Retirement plans

Generous PTO

Tuition reimbursement

Job summary

Horizon Blue Cross Blue Shield of New Jersey is seeking a Provider Tech Support Analyst II to support the Government Programs provider data and related systems. This role involves data screening, issue resolution, and coordinating procedures across departments, with emphasis on accuracy and timely data maintenance.

The ideal candidate brings 5+ years in provider data management, strong analytical and communication skills, and proficiency in Windows and MS Office.

Qualifications

• High School Diploma/GED required.
• Minimum of 5 years relevant work experience in provider data management in Healthcare/insurance.
• A valid driver"s license and access to an automobile is required.

Responsibilities

• Assist with direction and supervision activities of the Provider File Area to ensure the accurate, complete and timely maintenance of the Government Programs provider data files.
• Resolve provider data errors by identifying causation and recommend improvements, identifying strengths and documenting best practices.
• Assist in the preparation, development and analysis of specifications for system enhancements and modifications to ensure provider files integrate properly with current and planned systems.
• Produces and develops specifications and user testing criteria while securing appropriate documentation to assure accurate data in file.
• Evaluate and recommend improvements to specific current operating procedures to enhance operating efficiencies and controls.
• Handle important or sensitive projects and priorities that require a high degree of attention.
• Produce departmental reporting for quality and production, including vendor audits.
• Provide departmental representation on workgroups and committees.

Skills

Attention to detail

Analytical abilities

Communication skills

Organization and prioritization

Independent work

Windows OS proficiency

MS Office proficiency

Education

High School Diploma/GED

5+ years provider data management experience

Tools

MS Office

Job description

Horizon Blue Cross Blue Shield of New Jersey is seeking a Provider Tech Support Analyst II to support the Government Programs provider data and related systems. This role involves data screening, issue resolution, and coordinating procedures across departments, with emphasis on accuracy and timely data maintenance.

The ideal candidate brings 5+ years in provider data management, strong analytical and communication skills, and proficiency in Windows and MS Office.