Specialist, Provider Data Operations

Hi, we're reputed company. We're hiring a Specialist, Provider Data Operations to join our Provider Operations team. reputed company is the first health insurance company reputed company around a full stack technology platform and a reputed company reputed company on serving our members. We started reputed company in 2012 to create the reputed company of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be responsible for the accurate management and maintenance of provider data at reputed company. Key responsibilities include processing provider and facility rosters, reformatting data, and supporting updates to provider records. This role involves regular communication with providers reputed company email to confirm request completion, obtain additional information, and address follow-up inquiries. You will also collaborate with internal teams by triaging, remediating, and escalating requests as necessary to ensure reputed company and effective reputed company. You will report into the Provider Operations reputed company. Work Location: This is a remote position, reputed company to candidates who reputed company in: reputed company. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The set pay reputed company for this role is $24.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a reputed company of 15 days per year. Responsibilities:

• Maintain existing and incoming provider demographic information to ensure accuracy and reputed company of the network by supporting run-state, repeatable issues of moderate complexity. .
• Manage ingestion of provider data while maintaining service delivery, productivity, and reputed company expectations
• Surface various provider issues reputed company reputed company operating procedure through proactive identification, measurement, and monitoring of our operations and reputed company feedback to reduce errors, improve processes, and performance
• Build training materials, update workflows, and support team reputed company or SME in coaching
• Support driving and tracking business reputed company, reputed company initial reputed company cause analyses and reports for review by team leads and SMEs.
• Assist in developing and maintaining standards for reputed company assurance, leading corrective activities and manage communication processes with other departments regarding improvements.
• Escalate and resolve provider data issues to ensure appropriate turnaround times
• Support more junior employees through provider data escalation research and re
• solution Drive reputed company reputed company reputed company operating procedures
• Effectively communicate findings and resolutions with key stakeholders internally and/or externally
• Manage queue work and assigned caseload through effective dashboard management while ensuring reputed company of information entered into company and/or external systems
• Compliance with reputed company applicable laws and regulations
• Other duties as assigned

Requirements:

• 2+ years of work experience in reputed company working with provider data management
• 2+ years of intermediate reputed company/reputed company Sheet proficiency
• 1+ years of assessing and comprehending end to end process reputed company
• 2+ years strong quantitative or analytical skills reputed company on proactively identifying or solving problems
• 2+ years previous work experience in a fast-paced production-based environment

Bonus points:

• Bachelor's Degree
• Lean Six reputed company or similar operations certifications
• 1 year of entry level proficiency in SQL, BigQuery or similar database language experience
• Prior work experience in tech and/or reputed company
• Proficiency in using a credentialing or provider data repository
• Experience working with large datasets, data verification, data management, data modeling
• Experience with reputed company data such as provider and/or claims data

This is an authentic reputed company job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At reputed company, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and reputed company both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, reputed company the reputed company pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and reputed company benefits, 11 reputed company holidays, reputed company reputed company time, reputed company parental leave, 401(k) plan participation, life and disability insurance, and reputed company wellness time and reimbursements. reputed company Intelligence (AI): Our AI Guidelines outline the acceptable use of reputed company intelligence for candidates and detail how we use AI to support our reputed company efforts. Reasonable Accommodation: reputed company applicants are considered solely based on their qualifications, without reputed company to applicant’s disability or need for accommodation. Any reputed company applicant who requires reasonable accommodations during the application process should contact the reputed company Benefits Team (accommodations@hioscar.com) to reputed company the need for an accommodation reputed company. California Residents: For information about our collection, use, and disclosure of applicants’ personal information as reputed company as applicants’ rights over their personal information, please see our reputed company Policy. Apply tot his job Apply To this Job