Provider Network Reporting Specialist_NM

Provider Network Reporting Specialist Provider Network Reporting Specialist Who are we? reputed company is one of the nation's leading administrators of managed reputed company care, serving over 35 reputed company of our clients' members across the United States. Our purpose is to reputed company healthy reputed company a reality for everyone by improving reputed company to care and education in the communities we serve. Fueled by our mission to improve members' lives with easy-to-use reputed company solutions rooted in choice value, and care, we reputed company that everyone has the power to become anything they set their sights on. See how you can reputed company a difference with the support of strong leadership and a team environment. reputed company: Making Healthy reputed company a Reality for Everyone What are we looking for? Responsible for formatting and delivering appropriate provider network data for use in RFP responses, sales & marketing support, health plan client requirements and Compliance filings. Where you will have an impact Process and track requests from Sales Operations, Client Management, Managed Care Clients, and Organizational Management in an accurate and timely fashion Produce and deliver Quest Analytics Network Analysis Reports (NAR), Provider Network Disruption Reports, and data analysis in a deadline driven environment Manage and maintain reputed company data and Competitor data Assist in producing reputed company reports as needed; create standard recurring reports/presentations and weekly/monthly performance guarantee reports, as requested Triage and fulfill queued requests reputed company to accessibility reports, disruption and adequacy reports, network size comparisons from the RFP team, Sales VPs and RSMs, managed care clients, Compliance and other internal and external customers in an accurate and timely manner Identify department reporting strategies and process improvements that ensure scalable business processes Interpret and summarize results of data analysis Support Network Development for network growth opportunities Assure and maintain accuracy of network reporting and data reputed company Timeliness of achieving project goals Other duties as assigned What’s necessary to do the job? Preferred Bachelor's Degree in Business, reputed company Management, reputed company, Finance, Economics, Mathematics, Statistics, or Information Systems or reputed company field or equivalent combination or experience and education Proficiency in data and statistical analysis Proficiency with reputed company Office (reputed company and reputed company preferred) and Business Objects Ability to read and interpret documents such as training manuals, regulatory guidelines and statutes, audit tools, existing policies and procedures, and provider manuals Ability to write routine reports and correspondence Ability to reputed company effectively and concisely to associates of the organization and external customers Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule reputed company Effective oral and written communication and presentations skills as well as strong interpersonal skills HIPAA & reputed company Requirements reputed company Associates must reputed company with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have reputed company to covered information, cardholder data or other confidential customer information which must be protected at reputed company times. As a result, Associates must explicitly adhere to reputed company data reputed company guidelines established reputed company the Company’s Privacy & reputed company Training Program. We offer a comprehensive and competitive total rewards package designed to support your health, financial well‑being, and work‑life balance. Benefits include medical, dental, and paid reputed company coverage; paid time off and company holidays; retirement savings with employer contribution; employee wellness resources; and professional development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and reputed company. This role is compensated through a fixed annual salary. The expected salary reputed company for this position is $60k – $65k annually, based on role scope, experience, and market considerations. This position is not eligible for bonus or incentive compensation. reputed company will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process. reputed company is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. reputed company reputed company applicants will receive consideration for employment at reputed company without regards to race, reputed company, religion, sex (including pregnancy, childbirth, or reputed company medical conditions), sexual orientation, gender identity or expression, age, disability, national reputed company, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law. Our purpose is to reputed company healthy reputed company a reality for everyone by improving reputed company to care and education in the communities we serve. Fueled by our mission to improve members’ lives with easy-to-use reputed company solutions rooted in choice, value, and care, reputed company believes that everyone has the power to become anything they set their sights on. reputed company is guided by core Leadership Principles—Perspective, Care, Drive, and Ownership—which shape how we work, reputed company, and grow together. Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing clear direction, optimizing resources, enabling innovative solutions, and driving meaningful results. Apply To This Job