Remote Provider Data Support Analyst II

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

Benefits offered by this job

Medical benefits

Retirement plans

Generous PTO

Wellness programs

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. The role involves ensuring accurate, timely maintenance of provider files and coordinating data-driven projects across departments.

Responsibilities include identifying data issues, developing improvements, and preparing specifications for system enhancements.

Qualifications

• High School Diploma/GED required.
• Minimum of 5 years relevant work experience in provider data management in Healthcare/insurance.

Responsibilities

• Assist with the direction and supervision activities of the Provider File Area to ensure accurate, complete and timely maintenance of Government Programs provider data files.
• Resolve provider data errors by identifying causation and recommending improvements, documenting best practices.
• Assist in the preparation 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 current operating procedures to enhance efficiencies and controls.
• Handle important or sensitive projects and priorities that require high attention.
• Produce departmental reporting for quality and production, including vendor audits.
• Provide departmental representation on workgroups and committees.

Skills

Attention to detail

Analytical skills

Communication skills

Independent worker

MS Office

Healthcare data

Education

High School Diploma/GED

Tools

Provider data systems

Claims processing systems

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. The role involves ensuring accurate, timely maintenance of provider files and coordinating data-driven projects across departments.

Responsibilities include identifying data issues, developing improvements, and preparing specifications for system enhancements.