Upvote
Downvote
Provider Network Operations Claims Analyst Sr (Hybrid)
Share Job
- Suggest Revision
- The Provider Network Operations Data Analyst Sr. will be responsible for supporting Provider Enrollment and Credentialing.
- We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
- The Provider Network Operations Data Analyst Senior supports the business goals and initiatives of the Provider Network Operations department.
- UAT/Client Review & audit (fee schedule concentration) – reviews requests prior to initial submission to EO and claims post-production
- Capitation reconciliations – building queries, comparing membership; engaging with Finance, PNM, etc.
Active Job
Updated 12 days agoSimilar Job
Relevance
Active