Job description

SUMMARY:

The Plan Administration Analyst reports to the Plan Administration Manager. This position is responsible for maintaining the provider databases, plan administration support, implementing and auditing contract completion, and vendor management.

Creates and maintains fee schedule.

Implements and audits contract completion.

Vendor Management-We use a vendor to manage repricing contracts electronically.

Addresses contractual questions, determines nature of inquiry, research information and determines the proper action required.

Responsible for provider maintenance which maintains and updates all aspects of the provider databases for network providers including credentials, provider network participation, addresses, contracting status and terminations. W9 Management.

Perform other duties as assigned.

GENERAL EXPECTATIONS:

Provide and promote the delivery of services with a prevailing attitude of respect and recognition of the personal worth and dignity of every individual whether they are a client, coworker, or supervisor.

Communicate in a clear and concise manner, while also demonstrating receptivity through active listening.

Identify and perform work that has not been specifically assigned, as needed.​​​​​​​

Adhere to established safety standards and utilizes proper techniques to avoid work related injuries.

Continuously seek opportunities for improvement and suggest ways in which procedures/systems may be modified to accomplish tasks/goal efficiently and effectively.

Demonstrate a teamwork philosophy by working cooperatively with others inside and outside the position's department.

Attend required in-service and staff meetings.

Preserve the confidentiality of all business-sensitive information, including but not limited to that of insured groups and individuals, employees, and applicants.

KNOWLEDGE, SKILLS, AND ABILITY REQUIREMENTS:

Four (4) years' experience working in managed care/healthcare environment.

Healthcare management database experience

Knowledge of managed care products.

Knowledge of provider contracting.

Knowledge of CPT, HCPCS, ICD9, revenue code and/or DRG coding practices.

Flexibility to meet deadlines in an environment of changing priorities and workloads.

Effective verbal and written communication skills

Analytical skills to research and analyze data.

Ability to work as a team.

Strong customer service skills.

Ability to prioritize, organize, and remain focused within established time frames.

Let me know when would be a good time for me to contact you so we can set aside a couple of minutes to discuss the role.

Thanks in advance,

Jane Coffin | Talent Acquisition Specialist, Healthcare Staffing Services|
NTT DATA, Inc. | w. (954) 491-9626 | Jane.Coffin@nttdata.com | learn more at nttdata.com/america

Job Type: Full-time

Pay: $19.00 - $20.00 per hour

Schedule:

• Monday to Friday

Experience:

• Fee Schedules: 1 year (Preferred)
• Managed Care/Healthcare environment: 4 years (Preferred)
• Managed Care Products: 1 year (Preferred)
• Provider Contracting: 1 year (Preferred)
• CPT, HCPCS, ICD9, revenue code and/or DRG coding: 1 year (Preferred)
• Auditing Provider Contracts: 1 year (Preferred)

Work Location: Remote

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