What are the responsibilities and job description for the Provider Data Management Senior Analyst position at University of California?
Description
The Provider Data Management Senior Analyst will be
responsible for processing, maintaining, and updating all aspects of the
provider information database across all health plan products. You will :
- Ensure the accuracy and integrity of practitioner
information within the company's provider data systems
stakeholders through various communication channels to address inquiries
related to practitioner information
MD Staff (provider enrollment and claim system) or other repositories
risks, control costs, identify process breakdowns / issues, and ensure compliance
with industry standards
Salary : $76,200-$158,800
Qualifications
health plan or Managed Care team - Claims, Provider Relations, Provider
Contracting, Provider Network Management, highly desired
run complex SQL queries, required
PowerPoint, Visio and data visualization tools, required
capitation and other managed care IPA and provider reimbursement
methodologies
Analyst or Project Manager, preferred
Salary : $76,200 - $158,800
