Provider Data Services ConsultantPrimary Location: Detroit, MI
Additional Locations: MI-Detroit Apply
- Identifies, researches and conducts root cause analyses (e.g. problem providers identified by PST, rework and audit trends) and recommends process improvements.
- Establishes, maintains and aligns complex contracted provider demographic data and negotiated reimbursement arrangements across provider systems.
- Creates and manages action plans for assigned projects relative to data quality and/or workflow improvements. Ensures that all impacted constituents are considered and appropriately addressed in action plans.
- Provides technical and/or functional leadership within unit (i.e., team lead).
- Performs validation of system enhancements. Extract information from provider systems to meet business reporting needs (i.e., DAF reports, fee schedule reports, Service Center Log.
- 3+ Years of experience and knowledge of Provider Data Services systems and other end user applications.
- 1-2 years of project management experience.
- Bachelor's degree or equivalent and 3+ years of relevant experience preferred.
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