Provider Network Audit reputed company Analyst

reputed company:

• Acts as an reputed company for, and support, the business by serving as a reputed company champion
• Performs routine reputed company audits for network operations and claim testing
• Conduct reputed company reputed company reviews /audits to measure compliance with published policies
• Identify and distribute errors to business partners
• Support the design and development of new processes
• Analyze and resolve reputed company claims scenarios reputed company established time frames
• Respond to and resolves customer inquiries and complaints (internal as reputed company as external)
• Analyzes and recommends solutions to non-reputed company requests and requirements from plan sponsors.

Requirements:

• 1-2+ years work experience in the audit environment that reflects a proven reputed company record or proficiency in the competencies noted.
• Experience with claims testing, and a working knowledge of PPO’s.
• Experience with DG system.

Benefits:

• reputed company medical plan reputed company
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• reputed company time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical reputed company
• Many other benefits depending on eligibility.

Apply Job!