Provider Tech Sppt Analyst II - NovaWell

Horizon Healthcare Services•Newark, NJ

About The Position

The Provider Tech Support Analyst II supports Network Data Management and departments that use provider data, including screening provider loading and coordinating procedural aspects of Government Programs provider systems. The role helps maintain accurate, complete, and timely Government Programs provider data files, resolves data errors, investigates incidents affecting data integrity, and supports system enhancements and modifications. It also handles sensitive, high-priority projects and performs other duties assigned by management.

Requirements

High school diploma or GED.
At least 5 years of relevant work experience in provider data management in healthcare or insurance.
Proficiency with personal computers and supporting software in a Windows environment, including Microsoft Word, Excel, PowerPoint, and Outlook.
Knowledge of intranet and internet applications.
Excellent attention to detail and analytical ability, including the ability to report findings accurately.
Excellent oral and written communication skills.
Ability to interact with personnel and management at all levels.
Ability to organize and prioritize work assignments.
Ability to work independently and exercise sound business judgment.

Nice To Haves

Knowledge of healthcare provider systems and claims processing systems.
Understanding of managed care and indemnity business models and operations.
Familiarity with provider credentialing processes, provider data integration, system enhancement projects, and testing methodologies.
Knowledge of medical terminology and healthcare procedures.
Experience supporting vendor audits, compliance activities, or operational reporting.
Use of AI tools to support operational efficiency.
Ability to understand medical terminology and medical procedures.

Responsibilities

Assist with direction and supervision of Provider File Area activities to ensure accurate, complete, and timely maintenance of Government Programs provider data files.
Resolve provider data errors by identifying causes, recommending improvements, identifying strengths, and documenting best practices.
Investigate incidents affecting data integrity and programs to support trend analysis and identify potential vulnerabilities.
Assist in preparing, developing, and analyzing specifications for system enhancements and modifications to ensure provider files integrate with current and planned systems.
Develop specifications and user testing criteria and secure appropriate documentation to ensure accurate data in files.
Evaluate and recommend improvements to operating procedures to enhance efficiency and controls.
Handle important or sensitive projects and priorities requiring a high degree of attention.
Produce departmental quality and production reporting, including vendor audits.
Represent the department on workgroups and committees.
Perform other duties as assigned by management.