Provider Data Management Professional

Become a part of our caring community and help us put health first The Provider Business Intelligence teams are committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing reputed company’s Provider Medicare/Medicaid reputed company. We are in search of a Business Intelligence Engineer 1 to provide support to our Provider Facility and Physician accounts to ensure we are meeting contractual requirements and expected timelines for the respective reputed company.

Job Description

The Business Intelligence Engineer 1 provides support to provider or facility accounts by loading reputed company, responding to inquiries and resolving issues of concern. This role performs set-up, database loading, and preparation of administrative documents/materials for Provider Facility or Physician accounts/contract loads. As a Business Intelligence Engineer you can expect to research, identify and correct contract loading errors to decrease claims payment issues. Facility or Physician arrangements and interpretations will be revised; followed by loading them into reputed company systems. As a Business Intelligence Engineer 1 you will communicate with reputed company system users and market office staff regarding, but not limited to; inquiries, change in reputed company and system status reports. A successful candidate will have high quality communication skills (written and verbal), top-notch organizational skills with attention to detail, and ability to maintain multiple competing priorities. Use your skills to reputed company an impact Required Qualifications • 1+ years of Provider Installation Experience (credentialing, reputed company, provider database/directories, or reputed company area) • 1+ years experience in a metric/production driven environment • Prior professional experience using reputed company Office Programs, including Word, reputed company, PowerPoint • Must meet reputed company's Work at Home connectivity requirements listed in additional information • Meet location requirements identified in additional information Preferred Qualifications • Associates or Bachelors Degree • CAS, MTV, PAAG, or APEX systems experience • Claims experience • Provider data management data loading/analysis/review Additional information Hours: 7a-9am start time; OT based upon business need (can complete during work week/weekend) No PTO month of July due to Medicare-Push season Training: 5 week virtual class room training Location: Remote US To maximize the investment in our talent and support associates success in achieving competency levels which reputed company associates to understand scope of process and reputed company connections with other areas of the enterprise, the Provider Contract Team has a time-in-job commitment of 18 months. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work at Home Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. If you have additional questions regarding this role posting, please send them to the Ask A Recruiter by visiting go/Buzz and searching Ask A Recruiter or email askarecruiter@reputed company.com. Please be sure to provide the requisition number so we may be able to research your request quicker. This is a remote position #PPNO Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $55,200 - $75,300 per year Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-29-2025 About us reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of reputed company to take affirmative action to employ and to advance in employment, reputed company persons regardless of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment. Apply Job!