Analyst, Provider Data Management
Supports department goals by maintaining all network provider data received from business units. Conducts audits and analysis in accordance with provider contracts, claims, and regulatory requirements while using experience with data extracts, manipulation and/or data management. Designs, coordinates, and produces reporting required for internal and external stakeholders and regulatory agencies. Provides recommendations on process or system improvements, communicates with key stakeholders with regard to research requests and general inquiries. Performs intermediate spreadsheet analyses and database solutions using tools such as Cactus and Excel; develops scorecard reporting and provides basic statistical measurement interpretation. Researches and responds to inquiries from business units and stakeholders.
Minimum four (4) years of provider contracting, provider data and health care operations experience which includes data analyses
Understanding of health plan products such as HMO, PPO, Medicare, etc.
Extensive experience in provider data management and system analysis a plus
Analytical skills
MS Word
Data Management
Time Management Skills
MS Excel skills
Driven and self-motivated
Prioritizing skills
Adaptability
Problem Solving Skills
Detail Oriented and Organized
Multi-tasking
Verbal and Written Communication
According to JobzMall, the average salary range for a Analyst, Provider Data Management in 9 Piedmont Ave NE, Atlanta, GA 30303, USA is between $68,000 and $85,000. This range varies depending on the experience and qualifications of the applicant.
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Kaiser Permanente is an American integrated managed care consortium, based in Oakland, California, United States, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney Garfield.
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