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Provider Issue Resolution Analyst

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Network Management
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18327 Requisition #
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What you will get to do:

The Provider Issue Resolution Analyst is responsible for resolving issues related to provider demographics. The analyst will interact with a wide variety of providers, external vendors and internal Medica contacts across all business segments, to investigate and resolve service issues and problems and provide subject matter expertise, technical support, and training and guidance. The analyst must be able to review data in multiple data systems, including but not limited to CACTUS, COPIS, COSMOS, HealthRules, NDB, and Symfact.

In addition, the Provider Issue Resolution Analyst develops and maintains positive relationships with key strategic providers to complete complex demographic requests to ensure data accuracy. This position manages demographic projects with large amounts of data through to resolution.

Qualifications:
  • Bachelor’s degree, or equivalent combination of education and experience required
  • 3+ years' experience within the healthcare industry required
  • Previous position in Practitioner Demographics, Credentialing and Network Management
  • Solid understanding of managed care and the healthcare delivery system
Specific types of experience or skills required:
  • Excellent verbal and written communication skills
  • Strong interpersonal skills at all organizational levels
  • Creative, innovative problem solving, analytical and critical thinking skills
  • Strong organizational and time management skills; ability to manage multiple tasks and priorities
  • Ability to solve to root cause of issue
  • Strong computer skills: word processing, spreadsheet and database applications
  • Quality focused: Attention to accuracy is critical
  • Demonstrated ability to deal with customers and rapid changing environment
Equal Opportunity Employer Including Veterans and Disabled Individuals

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At Medica, you'll enjoy working with talented people who share a mission to meet our customers' needs.

 

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Medica will support you through your personal growth and involvement in the community.

 

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