Provider Tech Support Analyst II

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Offer assistance to Network Data Management and departments that utilize provider data.

• Review provider loading processes.

• Manage procedural elements related to Government Programs provider systems.

• Support and oversee activities within the Provider File Area.

• Ensure the Government Programs provider data files are maintained accurately, completely, and promptly.

• Address provider data discrepancies by identifying root causes and suggesting improvements.

• Recognize strengths and document best practices.

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

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

• Generate specifications and user testing criteria while obtaining the necessary documentation.

• Assess and recommend enhancements to operational procedures.

• Manage significant or sensitive projects and priorities.

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

• Represent the department in workgroups and committees.

⛳️ Requirements

• High School Diploma/GED is mandatory.

• At least 5 years of relevant experience in provider data management within the Healthcare/Insurance sector is required.

• Familiarity with healthcare provider systems and claims processing systems.

• Understanding of managed care and indemnity business models and operations.

• Knowledge of provider credentialing processes, provider data integration, system enhancement projects, and testing methodologies.

• Proficiency in medical terminology and healthcare procedures.

• Experience in supporting vendor audits, compliance activities, or operational reporting.

• Utilization of AI tools to enhance operational efficiency.

• Proficient in using personal computers and software in a Windows environment, including MS Office applications (Word, Excel, PowerPoint) and Outlook.

• Knowledgeable in using intranet and internet applications.

• Exceptional attention to detail.

• Strong analytical skills with the ability to report findings accurately.

• Excellent verbal and written communication skills.

• Capability to interact with personnel and management at all levels.

• Ability to organize and prioritize work tasks effectively.

• Ability to work independently and exercise sound business judgment.

• Understanding of medical terminology and medical procedures.

🏝️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous Paid Time Off

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement