Senior Analyst, Provider Quality

A company is looking for a Senior Analyst, Provider Quality. Key Responsibilities Communicate with Provider Relations and Network staff to identify issues and summarize them into actionable reports Research Provider Data Quality issues related to erroneous claims payments and collaborate with relevant teams for resolution Act as the subject matter expert for claims issues and ensure accurate documentation of Policies and Procedures Required Qualifications Bachelor's degree in a health-related field, finance, or business administration 5+ years of experience in claims, provider relations, network development, analytics, or quality assurance Experience working independently in a lead role Project management experience preferred Advanced Excel skills required

Mar 28, 2025 - 20:50

A company is looking for a Senior Analyst, Provider Quality. Key Responsibilities Communicate with Provider Relations and Network staff to identify issues and summarize them into actionable reports Research Provider Data Quality issues related to erroneous claims payments and collaborate with relevant teams for resolution Act as the subject matter expert for claims issues and ensure accurate documentation of Policies and Procedures Required Qualifications Bachelor's degree in a health-related field, finance, or business administration 5+ years of experience in claims, provider relations, network development, analytics, or quality assurance Experience working independently in a lead role Project management experience preferred Advanced Excel skills required