Senior Provider Data and Analytics Manager
Company: Questa Technology
Location: Tacoma
Posted on: January 12, 2021
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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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