Northwell Health Analyst Provider Info Systems in Manhasset, New York

Req Number 001UES

Job Category Information Technology

Job Description

POSITION SUMMARY

Supports Network operations through maintenance of demographic, billing and other information in provider database. Ensures timely, accurate generation and distribution of required reports and analysis in support of continuous quality improvement of provider database and Network operations.

RESPONSIBILITIES





  1. Performs data input and creates reports to support department operations:
  • Provider Online Directory (POD)– ongoing execution, QA and maintenance of supporting tables
  1. Generates reports to support Provider Relations functions
  • Regularly scheduled reports related to Network status

  • Mailing label extract generation to support provider on-boarding

  • Generates provider related reports in support of provider contracting and provider relationship management

  • Other ad hoc provider reports as requested

  1. Develops and maintains policies and procedures needed for the ongoing maintenance of the provider database.

  2. Develops and documents audit mechanisms to support the management of provider network changes, additions and terminations to ensure provider data accuracy.

  3. Perform related duties as assigned

* ADA Essential Functions

Qualifications

REQUIRED

EXPERIENCE AND QUALIFICATIONS

  • Bachelor’s Degree in Information Technology, Business Administration or related field, required.

  • Minimum of two (2) years related data analytics and report-writing experience in managed care or healthcare, required. Experience with QNXT, SQL, Crystal Reports, preferred.

  • Knowledge of Government Health Programs (Medicaid and Medicare).

  • Knowledge of medical terminology, CPT, ICD-9 codes, required.

  • Proficiency in Microsoft Access and Excel, required.