Position Purpose:
Perform day to day functions to maintain appropriate databases and create reports to monitor network compliance with State requirements.
- Create and maintain appropriate databases, including: contract network, authorization, third party liability, provider set up corrections, check requests, among others
- Design and generate reports to monitor department activity and State compliance
- Update the delegated entity Medicare and Medicaid Attachments on monthly basis
- Provide appropriate reports and statistical data to other department designees for the necessary follow up and resolution
- General administrative support of assigned department
Education/Experience:
High school diploma or equivalent. Associate’s degree in related field preferred. 1+ years of provider data or network administration experience, preferably in managed care. Proficient in Microsoft Office applications, preferably Access and Excel. Experience with data management in large databases, reporting and analysis preferred.