Provider Data Analyst I

Duties

• Analyze, research, and input relevant data for providers added to the organization’s network through individual contracts, facility/ancillary 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.
• Obtain missing data and update provider profiles specific to provider directory and/or client data extracts.
• Research and respond to all ad hoc requests (status checks) from both internal and external customers.
• Fully update provider profiles as appropriate while assuring continual adherence to established operational guidelines.
• Identify issues that require additional investigation and evaluation, validate discrepancies incurred and ensure appropriate follow up.
• Refer complex issues to management for appropriate disposition.
• 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 inquiries from providers and other departments pertaining to provider participation in a professional and courteous manner.
• Partner cross-functionally as necessary to ensure accurate and efficient disposition of data investigations and maintenance work.
• Ensure systematic data-oriented efforts to improve consumer and/or client services.

Requirements

• Minimum High School Diploma and three (3) years of relevant experience; Bachelor’s degree in a related field is preferred.
• Strong communication skills including 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 Microsoft Office products.

Compensation

The hourly range for this position is $20.00 - $25.00 per hour. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.

EEO Statement

Claritev 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.