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Provider Network Analyst

Company: Central California Alliance for Health
Location: Merced
Posted on: September 9, 2019

Job Description:

We have an opportunity to join the Alliance as a Provider Network Analyst in our Provider Services department. Please note there is one position available and it can be filled in either our Scotts Valley, Salinas or Merced office.What You'll Be Responsible ForReporting to the Provider Quality and Network Development Manager, you will lead and support provider network evaluation and reporting, and initiate, coordinate and analyze the results of provider network surveys and ensure compliance with regulatory standards. You will also coordinate regulatory reporting, the submission of audit-related deliverables and policy review.What You'll Need To Be SuccessfulTo read the full position description, and list of requirements click here. Knowledge of (and proficiency in): Research, analysis and reporting methods Windows-based PC systems and Microsoft Word, Outlook, Excel, and PowerPoint California's Medi-Cal program The healthcare industry and the principles of healthcare planning Ability to: Identify issues, conduct research, analyze and interpret data, reach logical and sound conclusions, and make recommendations for action Interpret policies, procedures, standards and guidelines Manage multiple projects simultaneously, create project plans, organize work, identify and involve relevant stakeholders, and achieve goals and timelines Independently manage assigned workload, make decisions related to area of functional responsibility, and recognize issues requiring escalation Prepare written and oral reports and make effective presentations Education and Experience: Bachelor's degree in Business, Public Administration, Economics, Healthcare or a related field A minimum of five years of experience in a managed care environment which included a minimum of three years of experience related to data analysis and/or regulatory reporting (or a Master's degree and three years) of relevant work experience; or an equivalent combination of education and experience may be qualifying Our Benefits Medical, Dental and Vision Plans Ample Paid Time Off 11 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program EV Charging Stations And many more About UsWe are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve over 330,000 members in Santa Cruz, Monterey and Merced counties. To learn more about us, click here or check out this video.At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for sponsorship.

Keywords: Central California Alliance for Health, Merced , Provider Network Analyst, Other , Merced, California

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