Temporary Provider Data Analyst

Temporary Provider Data Analyst

This is a temporary remote full-time role at Claritev. At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

Job Summary

This role maintains provider demographic data within the organizationally utilized database environment. The incumbent will regularly add and edit participating provider records in accordance with organizational and network processing guidelines.

Duties

1. 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.

2. Obtain missing data and update provider profiles specific to provider directory and/or client data extracts.

3. 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.

4. Identify issues that require additional investigation and evaluation, validate discrepancies incurred and ensure appropriate follow up. Refer complex issues to management for appropriate disposition.

5. 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.

6. Partner cross-functionally as necessary to ensure accurate and efficient disposition of data investigations and maintenance work.

7. Ensure systematic data-oriented efforts to improve consumer and/or client services. One hundred percent (100%) of this job is related to QM activities.

8. Collaborate, coordinate, and communicate across disciplines and departments.

9. Ensure compliance with HIPAA regulations and requirements.

10. Demonstrate Company's Core Competencies and values held within.

11. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

Compensation

The hourly range for this position is $20.00 - $27.00 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.

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.

• Required licensures, professional certifications, and/or Board certifications as applicable.

• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitors for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone.

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. If you would like more information on your EEO rights under the law, please click here.

Application Deadline

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.