Senior Provider Network Analyst

A company is looking for a Provider Network Operations Analyst Senior.

Key Responsibilities

Develops Pricing Agreement Templates for provider reimbursement setup

Resolves provider payment issues within established SLA timeframes

Maintains provider data accuracy through regular reconciliation and audits

Required Qualifications

Associate's Degree preferred

1-2 years managed care or related experience preferred; 1-2 years Medicaid experience preferred

2+ years of claims analysis experience in a healthcare environment

Billing and coding experience required

AAPC Coding Certificate (CPC, COC, CIC, CRC) preferred