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RTA US

Enrollment Data Analyst Job at RTA US in Oxnard

RTA US, Oxnard, CA, US


Job Description

Job Description

Position Title: Enrollment Data Analyst
Location: Oxnard, California
Pay Rate: $ 36 – 48 / hour
Contract Duration: 4 Months

Position Summary

  • Eligibility and Revenue Management:
    • Monitor daily department operations, including workflows, turnaround times, production, and staffing, to meet business planning and budget guidelines.
    • Compile and analyze monthly enrollment data, delivering schedules to departments such as Financial Analysis, Accounting, and Provider Contracting.
    • Conduct eligibility reconciliations to ensure exceptions and rejected data are addressed and updated.
    • Request and implement necessary programming changes for eligibility management software.
  • Client Provider Payments:
    • Obtain revenue files, calculate, and prepare provider payments in line with contract requirements and timelines.
    • Generate standard reports to detect anomalies affecting revenue capture, investigating and addressing discrepancies to ensure correct payments.
  • Communication and Reporting:
    • Report regularly to management, effectively communicating results, challenges, and solutions.
    • Respond promptly to requests from other departments regarding eligibility and revenue functions.

Requirements

  • Education:
    • Bachelor’s degree in Business, Accounting, Finance, or a related field.
  • Experience and Skills:
    • 2+ years’ experience in eligibility and capitation management.
    • Proficiency in MS Office Suite.
    • Detail-oriented with strong analytical and problem-solving skills.
    • Familiarity with revenue and accounting functions.

Preferred Qualifications

  • Experience with MS Visual Basic or MS SQL.
  • Knowledge of eligibility/insurance verification and managed care administration.

#LI-SH5

Company Description
As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty.

Equal Employment Opportunity Statement
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.

Company Description

As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty. \r\n \r\nEqual Employment Opportunity Statement \r\nAs a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics. \r\nPride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts.