Provider Network Analyst

Job Summary

A company is looking for a Provider Network Analyst II.

Key Responsibilities

• Oversee new contracts to ensure timely claims system setup and rigorous testing
• Analyze provider database for data consistency and optimal structure
• Mentor internal resources and assist in resolving complex claims issues

Required Qualifications

• Bachelor of Science/Arts degree or equivalent work experience
• Three years of provider contracts, claims, or configuration experience
• Five to eight years of healthcare operations experience in insurance or managed care
• In-depth knowledge of Facets
• Knowledge of claims payment processes and provider functions