Quality Assurance Analyst for Provider Networks

Job Summary
We are seeking a highly skilled Quality Assurance Analyst for Provider Networks to join our team. In this role, you will be responsible for ensuring the overall quality and accuracy of provider data within our systems. This includes conducting independent and collaborative data analysis to improve provider data quality, working with delegated entities to ensure data accuracy, and acting as a liaison between the Credentialing, Provider Maintenance, and Customer Service departments. You will also investigate and respond to inter-departmental project-related inquiries and ensure plan receives respective annual attestations from providers.

Key Responsibilities
• Conduct independent and collaborative data analysis to improve provider data quality
• Work with delegated entities to ensure data accuracy
• Act as a liaison between departments
• Investigate and respond to project-related inquiries

Requirements
• Bachelor's degree in a relevant field
• 3-5 years of experience in a research or provider data management position
• Ability to analyze and interpret legal, regulatory, and contractual language
• Strong customer service skills and ability to work independently

What You'll Bring
• Highly organized and detail-oriented individual
• Excellent analytical and problem-solving skills
• Ability to work in a fast-paced environment and prioritize multiple initiatives

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