Credentialing Data Analyst Job at Rishabh RPO in Phoenix

Job Title: Credentialing Data Analyst

Location: Phoenix, AZ
Duration: 6 months+

JOB DESCRIPTION:
Duties:

• Streamline and normalize existing provider address records for data entry into the eVIPs application Collect information and details on providers that require demographic information to be updated or added to the system, including researching, and requesting those changes and/or updates.
• Ensure that all paper and/or electronic forms are accurate and have the appropriate documents attached for loading into company systems.
• Provide timely daily updates to various departments of any provider changes to facilitate downstream system updates; to include AHCCCS daily deliverable
  Analyze existing provider data to confirm accuracy of data converted Code delegated credentialing roster for import in the eVIPs application, conduct import, and monitor for downstream system loads Ensure data appearing in provider directories and other materials for members is consistent with credentialing data in accordance with NCQA CR standards
• Identify discrepancies in provider practice information and facilitate timely terminations prior to recredentialing event
  Ensure updates to provider demographic data, including address changes and terminations, occurs within 30 days of notification
  Provide recommendations and feedback regarding process improvements and/or standardization practices
  Actively participate in staff meetings, team huddles, and one-on-one meetings Engage in team building activities
• On-going Coordination with Reimbursement Services, ensuring timely delivery of current updates
  Perform all other duties as assigned the position requires a full-time work schedule.
• Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
  Skills:
• Required Comprehensive understanding of and significant experience using Microsoft Excel
  Ability to efficiently manipulate and manage large data sets Ability to think critically
  Strong attention to detail, organizational skills, and verbal and written communication skills
  Maintains confidentiality according to policy Accurately review data and figures both in hard copy and electronic formats
  Accurately sort through data and think through issues in a time pressured environment
  Accurately learn and retain new information, knowledge and skills
  Efficiently manage multiple tasks, with varying degrees of priority, at the same time Preferred Job Skills
  Thorough understanding of managed care principles and physician practice operations, with an understanding of managed care credentialing and/or demographic maintenance
  Experience with a relational database
  Experience in a scripting language, such as SQL or Microsoft Access
• Keywords:
  Education: Highschool or GED