Required Skills

Data Engineer

Work Authorization

  • US Citizen

  • Green Card

  • EAD (OPT/CPT/GC/H4)

  • H1B Work Permit

Preferred Employment

  • Corp-Corp

  • W2-Permanent

  • W2-Contract

  • Contract to Hire

Employment Type

  • Consulting/Contract

education qualification

  • UG :- - Not Required

  • PG :- - Not Required

Other Information

  • No of position :- ( 1 )

  • Post :- 17th Jan 2024

JOB DETAIL

* Manages provider data for health plans including but not limited to demographics, rates, and contract intent

* Manages provider audits, provider service and relations, credentialing, and contract management systems

* Executes processes for intake and manage provider perceived service failures

* Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas

* Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed

* Follows established guidelines/procedures

 

* Bachelor's degree

* 5 years of provider network experience

* Demonstrated expertise in financial modeling, data preparation and analysis using Excel, Access and other Microsoft applications

* Prior experience managing mid to large scale projects

* Strong attention to detail

* Must be passionate about contributing to an organization focused on continuously improving consumer experiences

 

Preferred Qualifications:

* Service Fund experience strongly desired

* Previous experience in the health solutions industry

Company Information