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5 часов назад

Business Analyst IV Provider Data (Healthcare)

87 700 - 157 800$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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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

hirify.global 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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