Job Description

Data Specialist Provider Relations needs 4+ years' experience
Data Specialist Provider Relations requires:
Associate or Bachelors Degree
- Customer service and/or data analysis experience
SQL, R, Excel, experience with complex data cleansing, integration and reconciliation, experience with process automation
- Experience within health care industry
- Problem solving skills/decision making abilities
Understands the credentialing process and provider impacts of the credentialing process.
- Analytical ability in understanding business processes/impact of decisions
- Strong critical thinking skills
- Developed oral/written communication skills
- Ability to handle escalated provider issues, including direct provider calls

Data Specialist Provider Relations duties:
- Evaluates, researches and resolves complex provider data maintenance requests and issues. Understands the systems, business process and provider impact of alternative set-ups.
- Evaluates, researches and resolves credentialing requests and issues.
- Assists management with database/data integrity issue research and recommends resolutions. Identifies trends related to data structure/set up and reports trends with proposed solutions to management.
- Identifies opportunities to improve processes to ensure efficient turnaround of issues and meets and exceeds established deadlines and performance standards.
- Develops and maintains departmental policies and procedures documentation related to provider data set up.
Employment Type: Full-Time
Salary: $ 35.00 Per Hour

Job Tags

Hourly pay, Full time,

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