5 часов назад
Business Analyst IV Provider Data (Healthcare)
87 700 - 157 800$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Business Analyst IV Provider Data (Healthcare) (Provider Data and Operations): Analyzing provider, claims, contract, roster, and operational data to improve configuration accuracy, provider experience, and claims payment with an accent on data integrity, reconciliation, and cross-functional execution. Focus on identifying discrepancies across provider systems, coordinating corrective submissions, redesigning business processes, and leading user acceptance testing and implementation initiatives.
Location: Remote nationwide within the United States; U.S. work authorization required.
Salary: $87,700–$157,800 per year
Company
connects people with healthcare services and works to improve access and health outcomes.
What you will do
- Analyze provider, claims, contract, roster, and operational data to support business initiatives and improve configuration accuracy.
- Lead provider roster reconciliations and data-quality reviews across CenProv, Portico, PIX, Xcelys, Amisys, and related reporting tools.
- Validate provider data including TIN, NPI, networks, effective dates, locations, affiliations, credentialing cycles, and directory indicators.
- Coordinate corrective submissions, resolve data and process issues, and confirm successful implementation.
- Lead provider-facing and internal meetings, preparing agendas, presentations, status updates, decision logs, and follow-up actions.
- Support requirements analysis, user acceptance testing, training programs, policy changes, risk assessment, and process redesign.
Requirements
- Bachelor’s degree in a related field or equivalent experience.
- 6+ years of business process or data analysis experience, preferably in healthcare, or 5+ years of HEDIS analysis.
- Advanced knowledge of Microsoft applications, including Excel and Access.
- Experience analyzing complex operational data and translating findings into business recommendations.
- Must be authorized to work in the United States without current or future employment-based visa sponsorship.
Nice to have
- Project management experience.
- Healthcare provider data or national provider organization experience.
Culture & Benefits
- Remote work with a flexible approach to remote, hybrid, field, or office schedules.
- Health insurance, 401(k), and stock purchase plans.
- Tuition reimbursement, paid time off, and holidays.
- Additional incentive compensation may be available based on eligibility and applicable factors.
- Work focused on improving healthcare access and outcomes.
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