Provider Data Analyst, Credentialing - Brentwood, TN(Job Number:705313)
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This Provider Data Analyst is located in the Brentwood, Tennessee UHG office and supports the Medicaid plan (Choices) for Tennessee. Provider types vary widely and include traditional provider types, but also providers such as pest control, home modification etc. Such services can both improve patient care and reduce cost.
- Maintain the provider network database which may include any or all of the following: database maintenance, reporting and extracting data for various reports and analyses, initiating database improvement
- Develops and maintain standards for database integrity and quality assurance, coordinates corrective activities to clean database and retain users, and manages communication processes with other departments regarding database improvements
- Responsible for establishing and maintaining needed credentialing for providers, and for assisting internal areas in problem resolution such as denied claims
The ability to manage multiple projects regarding provider demographics, meet state deliverables and ensure compliance is key in this role. The role requires the ability to work in a high volume, fast paced environment while still paying close attention to critical detail.
Job Provider Data Integrity
Primary Location US-TN-Brentwood
Organization C&S Tennessee ABD LTC
Number of Openings 1