Provider Network Analyst

Job Title: Provider Network Analyst
Type: Contract
Compensation:
Contractor Work Model: Remote

ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.

The Provider Network Analyst I is responsible for providing technical support and managing the databases and systems used for provider contracting. The Provider Network Analyst I will collaborate with the contracting team to resolve technical issues and ensure smooth operations across all platforms.

Essential Functions:

• Identify issues related to reimbursement and recommends appropriate solutions. Includes generating and analyzing queries or reports for analysis
• Identify agreement or reimbursement discrepancies and facilitate resolution with the appropriate stakeholders
• Manage and maintain contracting databases, ensuring data accuracy, consistency, and integrity across all systems
• Assist in the setup, configuration, and management of contract what-if scenarios
• Collaborate with IT and analytics teams to ensure databases are optimized for performance
• Monitor dashboard performance and proactively identify areas for improvement or issues that need addressing
• Assist with data imports, exports, and migrations, ensuring smooth transitions and minimal system downtime
• Perform regular data audits and system tests to ensure accuracy and compliance with internal and external standards
• Support the development and documentation of workflows, processes, and procedures related to contracting systems
• Collaborate with stakeholders to implement new markets or updates
• Provide training and technical guidance to team members on system usage and best practices
• Assist in troubleshooting contract-related issues, identifying root causes, and recommending solutions
• Perform any additional tasks or system-related duties as assigned

Education and Experience:

• Bachelor's degree in related field or equivalent years of relevant work experience is required
• Database management knowledge is preferred
• Provider contracting or configuration experience is preferred
• Managed care or healthcare experience is preferred
• A minimum of 2 years of healthcare industry, account management or operations (claims, Provider Billing and Revenue Cycle) experience is preferred.

Competencies, Knowledge and Skills:

• Basic proficiency with SQL and the ability to query, update, and manage databases
• Familiarity with database management and system administration best practices
• Experience with Microsoft Excel for managing data imports/exports and data analysis
• Technical troubleshooting skills, with the ability to diagnose and resolve system and data issues
• Ability to work collaboratively with IT, analytics, and contracting teams to address system-related needs
• Excellent attention to detail and organizational skills, especially when working with large datasets
• Ability to communicate technical issues and solutions clearly to non-technical team members
• Basic knowledge of data governance and compliance requirements (HIPAA or similar) is a plus
• Ability to manage multiple tasks and deadlines in a fast-paced environment
• Proficiency with Microsoft Office Suite (Excel, Word, Outlook, PowerPoint)
• Willingness to learn and adapt to new systems and technologies

Licensure and Certification:

• None

System One, and its subsidiaries including Joul, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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Ref: #860-IT Cincinnati