Operation Support Business Analyst

Streffco Consultants, Inc., is an international technical staffing and systems integration organization. We provide technology and business operations resources on a project, contract, contract-to-hire or direct hire basis.
Title: Operation Support Business Analyst
Job ID: 59789
Industry: Healthcare
Location: Aurora,CO
Duration: 12 months(contract to hire)
Pay Rate Range: Depends on Experience (W-2 all inclusive rate)
Purpose and Description:
Support, coordinate and perform necessary tasks to ensure Network Operations run smoothly within the Network Development and Provider Contracting (NDPC) Department. Tasks may include, but not limited to, responding to internal business units requests, report requests, provider data updates, support operational tasks for NDPC staff, provider data and contract audits, assist NDPC staff with timelines, project plans, and other duties as assigned. Maintains and supports a culture of compliance, ethics and integrity. Maintains knowledge of policies and procedures and performs in accordance with the Principles of Responsibilities and applicable regulatory requirements, external laws and accreditation standards.
Daily Responsibilities:
Perform audits on provider rosters and data files. (10%).
Provide research support on Network Operations data and provider files. (40%).
Respond to internal business units, reports and provider participation requests. (10%).
Support operational tasks for NDCP staff (e.g. business requirements, workflows,).
Experience Level:
Minimum number of years of experience required: 2 years of related experience with provider date
Education
HS Diploma or GED
Required Experience and skills:
Experience with provider contracting.
Provider data analysis and or provider contract configuration.
Proficiency in Healthcare and Health Plan terminology, medical coding (e.g. CPT4, ICD9, and HCPCS), provider contract concepts and common claims adjudication practices and General Health plan functions.
Desired Skills:
Proficient in Microsoft Office applications including knowledge of SharePoint. Strong analytical and problem solving skills.
Effective and clear communication using appropriate channels to maintain working relationships
Please respond by submitting your resume in a Word Document.
(Please include the job title and id# in the subject line)
We will not respond to everyone personally - qualified candidates will be contacted for an interview.



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