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Senior Provider Data and Analytics Manager

Company: Questa Technology
Location: Tacoma
Posted on: January 12, 2021

Job Description:

Job Title: Senior Provider Data and Analytics Manager Job Location: WashingtonResponsibilities:Oversee all reporting and data requirements for the health planEncounter reporting development and submissionNetwork development reportingProvider data reporting and data comparisons for start up and ongoing operationsExtractions for directory submissionsMaintenance of data among multiple systems for integrity, operational scorecards, and other reporting and data requirements as defined by the planDirect oversight for Credentialing function (in partnership with QI) ensuring the process between credentialing and provider data integrity is seamlessDirect oversight of encounter error corrections, processing and reporting to meet State established acceptance rateResponsible for all system implementations, development of business requirements, and system enhancement projectsCreate, validate, and produce reports for state or other reporting needsDirect oversight and coordination of GeoAccess reports and provider network reports required for submission to the state on an ongoing basisCoordinate with Provider Relations and Claims to address Network Data errors and claims processing issuesDevelop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issuesResponsible for working with the QI department in the development of QI and credentialing reportsAccountable for any ad hoc reporting needs as defined by the health planMay oversee Provider Data department staff and activities including provider set up forms, maintenance of provider records, and audit provider data recordsRequired Qualifications:Bachelor's degree in a related area or equivalent experienceSeven years of experience in a similar position in a health plan or network settingProject management, claims management/processing, and implementation experienceMust be able to develop system business requirementsQBH: 2320Type: Full-TimeCategory: IT

Keywords: Questa Technology, Tacoma , Senior Provider Data and Analytics Manager, Executive , Tacoma, Washington

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