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Provider Data Analyst I

Provider Data Analyst I

Currently, this position is a remote or, work from home, position but will be located in a MultiPlan office when they reopen.

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 talented individual can participate and perform their best work.  We are MultiPlan and we are where bright people come to shine!    

  • Find more information on what it’s like to be a MultiPlan employee on our Careers page at www.multiplan.com

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.
Company
MultiPlan
Posted
11/20/2021
Salary Range
$54,000.00 - 83,000.00
per Year
Salary range estimated by
Location
De Pere, WI 54115, US