Provider Data Analyst

Alignment Health

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Provider Data Specialist will maintain the data integrity of Alignment Healthcare’s (AHC) provider data-base. They will perform the data entry tasks for contracted providers, practitioners and facilities as directed by the Provider Data Management.

Requirements

Minimum 1 year of experience in provider services, healthcare services or as an IT clerk.
High School Diploma or GED. Bachelor's degree or four years additional experience in lieu of education.
Possess basic computer skills.
Proficient in Microsoft applications.
Performs data entry with a minimum of 45 wpm.
Familiarity with Medical terminology; healthcare coding familiarity is a plus.
Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors.
Ability to perform mathematical calculations and calculate simple statistics correctly
Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.

Nice To Haves

None

Responsibilities

Inputs, uploads and updates provider demographic information in AHC’s database, including issuing termination dates and other necessary changes to existing records.
Assures the accuracy of the provider information in Alignment’s provider database.
Processes Change of Information (CIF) requests electronically via “Provider Data” mailbox in accordance with the timeline set forth by the department’s policies and procedures.
Assists the Provider Data Business Analyst in producing and timely filing all provider directories, ensuring their content is accurate.
Places calls as necessary to providers to verify demographic information.
Processes assigned monthly reconciliation reports for data integrity projects.
Ensures contracted medical groups comply with AHC’s provider profile requirements and CMS specialty type standards.
Tests and supports system integrations for AHC’s provider database as needed.
Delivers customer service for provider inquiries and network status, both internally and externally.
Maintains a precise and comprehensive filing system, including electronic files (CIFs, contracts), to track demographic information in AHC’s database, ensuring the security of both physical and digital records.