Experience Inc. Jobs

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

• Engage with both internal and external stakeholders through various communication channels to address inquiries related to practitioner information

• Collect, monitor, and study business data via EPIC, MD Staff (provider enrollment and claim system) or other repositories

• Create/pull reports that help mitigate regulatory risks, control costs, identify process breakdowns/issues, and ensure compliance with industry standards

Salary: $76,200-$158,800

Qualifications

• A Bachelor's degree or equivalent experience

• 3-4 years of experience working in a Medicare Advantage health plan or Managed Care team - Claims, Provider Relations, Provider Contracting, Provider Network Management, highly desired

• Strong skills of MS Excel and SQL to create and run complex SQL queries, required

• Experience developing performance reports, required

• Strong knowledge and prior experience using Word, PowerPoint, Visio and data visualization tools, required

• Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies

• Previous experience working as a Business Analyst or Project Manager, preferred

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.