Provider Tech Support Analyst II

This is a fully remote position, open to applicants in Connecticut, +3 more states.

📋 Description

• Offer assistance to Network Data Management and departments that utilize provider data, including the screening of provider loading.

• Coordinate the procedural aspects related to Government Programs provider systems.

• Support the direction and supervisory activities of the Provider File Area to ensure the accurate, complete, and timely maintenance of Government Programs provider data files.

• Address provider data discrepancies by identifying their causes, suggesting improvements, recognizing strengths, and documenting best practices.

• Investigate incidents that affect data integrity and programs to analyze trends and potential vulnerabilities.

• Aid in the preparation, development, and analysis of specifications for system enhancements and modifications.

• Generate specifications and user testing criteria, ensuring appropriate documentation to maintain accurate data in files.

• Assess and recommend enhancements to operating procedures to boost efficiency and controls.

• Manage significant or sensitive projects and priorities that require a high level of attention.

• Create departmental quality and production reports, including vendor audits.

• Represent the department in workgroups and committees.

⛳️ Requirements

• High School Diploma/GED is mandatory.

• A minimum of 5 years of relevant work experience in provider data management within the Healthcare/Insurance sector is required.

• A valid driver's license and access to an automobile is essential.

• A thorough understanding of healthcare is preferred.

• Familiarity with healthcare provider and claims systems is preferred.

• Understanding of indemnity and managed care business practices is preferred.

• Proficiency in using personal computers and supporting software in a Windows environment, including MS Office products (Word, Excel, PowerPoint) and Outlook; knowledge of intranet and internet applications is necessary.

• Exceptional attention to detail is required.

• Strong analytical skills and the capability to report findings accurately are essential.

• Excellent oral and written communication skills are required.

• The ability to interact with personnel and management at all levels is necessary.

• Strong organizational skills and the ability to prioritize work assignments are required.

• Ability to work independently and apply sound business judgment is essential.

• Familiarity with medical terminology and medical procedures is preferred.

• Candidates must reside in New Jersey, New York, Pennsylvania, Connecticut, or Delaware.

🏝️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement