Provider Data Analyst I in Work From Home at MultiPlan

Date Posted: 9/23/2022

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/23/2022

Job Description

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talent individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!

JOB SUMMARY: This role maintains provider demographic data within the organizationally utlizied database environment. The incumbent will regularly add and edit participating provider records in accordance with organizational and network processing guidelines.

JOB ROLES AND RESPONSIBILITIES:
1. Analyze, research, and input relevant data for providers added to the organization's network through individual contracts, facility/anciillary contracts and/or newly acquired group contracts. Maintain changes to current provider files including provider terminations. Provider records to be updated include but are not limited to: practitioner, facility, ancillary, and group records.
2. Obtain missing data and update provider profiles specific to provider directory and/or client data extracts.
3. Research and respond to all adhoc requests (status checks) from both internal and external customers. Fully update provider profiles as appropriate assuring continual adhearance to established operational guidelines.
4. Identify issues that require additional investigation and evaluation, validate discrepancies incurred and ensure appropriate follow up. Refer complex issues to management for appropriate disposition.
5. Complete special projects as assigned by management this may include but is not limited to both telephonic and electronic investigative work. Verify, research, and respond to telephone inquiries and written inquires, from providers and other departments, pertaining to provider participation in a professional and courteous manner.
6. Partner cross-functionally as necessary to ensure accurate and efficient disposition of data investigations and maintenance work.
7. Ensure systematic data oriented efforts to improve consumer and/or client services. One Hundred percent (100%) of this job is related to QM activities.
8. Collaborate, coordinate, and communicate across disciplines and departments.
9. Ensure compliance with HIPAA regulations and requirements.
10. Demonstrate Company's Core Competencies and values held within.
11. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:
The incumbent works under general supervision in a self-directed and results oriented manner. The incumbent works within established standards and procedures, relying on a broad range of knowledge gained through experience to complete job responsibilities. Work involves support tasks with the majority of complex issues referred to supervisor.This job does not directly supervise other personnel.

**Pursuant to Colorado's "Equal Pay for Equal Work Act", the following salary range is provided solely for applicants living in Colorado: $15-$19 per hour. If an applicant does not live in Colorado, this salary range may not apply. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

Job Requirements

JOB REQUIREMENTS (Education, Experience, and Training):


* Minimum High School Diploma and 3 years' relevant experience; Bachelors' degree in a related field is preferred.
* Communication (written, verbal, listening) organization, telephone, interpersonal, analytical and data entry skills
* Ability to be detail oriented
* Ability to work independently and adapt to various tasks
* Ability to meet quality and production goals
* Ability to use software, hardware and peripherals related to job responsibilities including MS Office products
* Required licensures, professional certifications, and/or Board certifications as applicable
* Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

  • Medical, dental and vision coverage (low copay & deductible
  • Life insurance
  • Short and long-term disability
  • 401(k) + match
  • Generous Paid Time Off
  • Paid company holidays
  • Tuition reimbursement
  • Flexible Spending Account
  • Employee Assistance Program
  • Summer Hours

EEO STATEMENT

MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you'd like more information on your EEO rights under the law, please

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