Demo

Provider Network Analyst

USA Health Staff
Sioux Falls, SD Full Time
POSTED ON 3/7/2025
AVAILABLE BEFORE 4/25/2025

The Provider Relations Network Analyst is responsible for managing and maintaining healthcare provider contracts within a health plan network. Their primary duties include:

Key Responsibilities:

  • Setting Up Provider Contracts – Ensuring that new healthcare providers are properly added to the system, including database setup and loading.
  • Database Management – Maintaining and updating provider information in the system, ensuring they are assigned the correct reimbursement schedules.
  • Administrative Tasks – Preparing necessary documents and materials related to provider contracts.
  • Communication & Coordination – Acting as a point of contact between the health plan and providers, helping resolve issues and clarifying network details.
  • Issue Resolution – Addressing provider-related concerns and working with internal teams to ensure smooth operations.
  • EPIC Database Use – Utilizing the EPIC system (a widely used electronic health record platform) to manage provider data.
  • Reporting & Data Analysis – Generating reports, analyzing provider data, and troubleshooting issues related to provider networks.

Purpose of the Role:

This role helps ensure that healthcare providers are properly onboarded and maintained within the health plan network, supporting smooth operations and effective communication between providers and the health insurance company.

Job Type: Contract

Pay: $21.00 - $23.00 per hour

Expected hours: 40 per week

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Work Location: Hybrid remote in Sioux Falls, SD 57103

Salary : $21 - $23

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