Provider Network Analyst Type: Temporary/Contract Location: Remote, US Authorized only apply Hours: Mon – Friday 8 am – 5 pm Job Duties:
- Provides operational support and performs data maintenance and clean-up for data transactions (basic to complex). In addition, performs more complex data transactions and maintenance associated with projects, expansions, and new product implementations.
- Works with other departments to ensure quality provider data to our members.
- Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory.
- Works collaboratively with internal/external constituents to implement new networks and complex contractual arrangements.
- Identifies, researches and conducts root cause analyses (e.g. problem providers identified by PST, trends from routine PDS audits) and collaborates cross-functionally within the organization to recommend process improvements.
- Conducts and manages audits of provider information and escalates issues for resolution as appropriate
Minimum Qualifications:
- 1 year of Provider Credentialing experience.
- 1 year of Experience with Provider Data and Working with large datasets (Excel, Sheet, etc.)
- 1 year of Medicaid provider data, provider relations, or provider contracting experience.
- 1 year of Project management and delivery experience in highly matrixed organizations.
- 1 year of experience working with Quick base, excel, Adobe, Quest, and other tools for working with provider data.
Preferred Qualifications:
- Proven ability to work collaboratively at all levels and affect change.
- Exercise sound judgment and demonstrates analytical/data-driven decision-making skills.
Education: HS Diploma About NTT Data Services: NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients’ long-term success. Visit nttdata.com or LinkedIn to learn more. NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $25.00- 34.00 hr. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. This position may also be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits . #INDHRS
Big data remote work Collaboration change-management Process improvement Analytical skills adobe Quality Assurance (QA) Microsoft Excel Project management Root Cause Analysis (RCA)