Provider Relations Analyst

Company: Crossroads Staffing
Location: Camarillo
Posted on: May 20, 2023

Job Description:

Great Opportunity Available in Camarillo Job Description
The Provider Relations Analyst is responsible for preparing and analyzing various standard and ad hoc reports and decision support tools for management. Responsible for analyzing, developing, and implementing database designs, data models and relational database definitions across multiple computing environments under general supervision. Interacts with various departments to ensure appropriate data is developed, maintained and used appropriately throughout the company. The position is also responsible for supporting Provider Relations with assigned projects, development of policies, procedures and workflows, systems management and organization. Identify, analyze, and interpret trends or patterns for methods to better benefit the Plan. Develop and maintain databases necessary for projects and department functions. Uses analytical and data skills to produce reports to support the Business in making data driven business decisions. Develop graphs, adhoc and regularly schedule reports, and presentations of project results. Reviews data to ensure validity. Perform basic statistical analyses for projects and reports. Performs basic analyses on departmental productivity. Extract and analyze data from various sources to achieve cost saving programs for the Plan. Generate routine and ad hoc reports as assigned. Perform provider network analysis, trending reports and provider access data. Facilitates provider satisfaction surveys as related to how they affect provider satisfaction. Maintains an up-to-date and thorough knowledge of company policies as related to provider contracting and operations. Provides accurate research to resolve issues regarding, claims and contracting using appropriate systems. Properly documents all callscontacts as required by department standards in a clear and concise manner. Communicates complex issues effectively to both internal and external business associates. Supports Manager, Provider Network. Skills Required
BA Degree in Information Mgmt Systems, FinanceAccounting or Health-care. 4+ yrs of data analysis exp. Proficient in MS Office. Adept at queries and report writing. Strong business analysis, mathematical skills. Medicaid regulatory exp. Skills Preferred
Healthcare background or exp. Technical expertise regarding data models and database design development. BA could also be in Business, Computing, Mathematics, Statistics.

Keywords: Crossroads Staffing, Camarillo , Provider Relations Analyst, Professions , Camarillo, California