Provider Network Reporting Specialist_NM

About the role

The Provider Network Reporting Specialist is responsible for formatting and delivering appropriate provider network data for use in RFP responses, sales & marketing support, health plan client requirements and Compliance filings.

Responsibilities

• Process and track requests from Sales Operations, Client Management, Managed Care Clients, and Organizational Management in an accurate and timely fashion
• Produce and deliver Quest Analytics Network Analysis Reports (NAR), Provider Network Disruption Reports, and data analysis in a deadline driven environment
• Manage and maintain Zelis data and Competitor data
• Affiliate in producing ad hoc reports as needed; create standard recurring reports/presentations and weekly/monthly performance guarantee reports, as requested
• Triage and fulfill queued requests related to accessibility reports, disruption and adequacy reports, network size comparisons from the RFP team, Sales VPs and RSMs, managed care clients, Compliance and other internal and external customers in an accurate and timely manner
• Identify department reporting strategies and process improvements that ensure scalable business processes
• Interpret and summarize results of data analysis
• Support Network Development for network growth opportunities
• Assure and maintain accuracy of network reporting and data integrity
• Timeliness of achieving project goals

Requirements

• Preferred Bachelor's Degree in Business, Healthcare Management, Accounting, Finance, Economics, Mathematics, Statistics, or Information Systems or related field or equivalent combination or experience and education
• Proficiency in data and statistical analysis
• Proficiency with Microsoft Office (Excel and Access preferred)
• Ability to read and interpret documents such as training manuals, regulatory guidelines and statutes, audit tools, existing policies and procedures, and provider manuals
• Ability to write routine reports and correspondence
• Ability to speak effectively and concisely to associates of the organization and external customers
• Effective oral and written communication and presentations skills as well as strong interpersonal skills

Qualifications

• HIPAA & Security Requirements

Skills

• Compliance with HIPAA and Security Requirements

Benefits

• Medical, dental, and paid vision coverage
• Paid time off and company holidays
• Retail savings with employer contribution
• Employee wellness resources
• Professional development opportunities

Pay

$60k – $65k annually

Schedule

N/A