What are the responsibilities and job description for the Provider Network Analyst III position at Medica Services Company LLC?
Support new provider network design. Ensures Medica's provider networks meets federal adequacy measures by completing analysis, identifying gaps, researching and recommending solutions. Complete and file all CMS waivers. Partner with product to complete data filings, as well as ad hoc reporting duties.
Qualifications:
- Bachelor's degree or equivalent experience in related field
- 5 years of work experience in data analysis and reporting beyond degree
Skill and Abilities:
- Advanced skills in Excel and Access required
- Provider experience preferred
- SQL experience preferred
- Quest experience preferred
- Time management skills and ability to meet deadlines
- Detail oriented/analytical and critical thinking, creative - thinks outside the box
- Must possess strong decision making skills
- Excellent written and verbal communication
This position is a Remote role. The employee must be located in any state in which Medica is an employer and will work remotely 100% of the time.
Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Salary : $82,400 - $104,000