An integral part of the contracting team, the Managed Care Anaylst II (provider/vendor maintenance) will maintain responsibility for the analysis, modeling, interpretation and loading of healthcare/managed care contractual agreements for Provider, Ancillary, or Specialist in the EZ-Cap software solution.
This position has no supervisor responsibilities.
POSITION INTERACTS WITH
Human Resource Department
ESSENTIAL DUTIES & RESPONSIBILITIES
While upholding and supporting the philosophy, objective and policies of Desert Physicians Management, LLC and Choice Medical Group the essential duties and responsibilities include the following, other duties may be assigned:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions
Knowledge of :
Has knowledge of industry standards and expectations. Has knowledge of commonly used concepts, practices and procedures within this field. Excellent verbal and written skills. Computer literate with knowledge of EZ-Cap and Microsoft Applications. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works independently under the direction of the Information Technology Director. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
EDUCATION and/or EXPERIENCE
High school diploma and a minimum of 3- years related experience and/or training.
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or government regulations. Ability to write reports and/or business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Ability to solve practical problems and deal with a variety of concrete variable in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
CERTIFCATES, LICENSES, REGISTRATIONS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee frequently is required to stand, walk, sit and use the computer and telephone. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 15 pounds.
The work environment characteristics described here are representative of those and employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.