BA/PNO Analyst
Horizontal Talent

Join our dynamic team as a Business Analyst for Provider Network Operations, where you'll play a crucial role in migrating to a new core claim system. This position offers the opportunity to work cross-functionally and contribute to impactful projects in the healthcare sector.
Responsibilities

• Facilitate the migration to a new core claim system for the Provider Network Operations team.
• Participate in meetings throughout the phased rollout, including preparation, testing, and post-launch activities.
• Maintain and update issue trackers and process documents for leadership.
• Prepare executive summaries and communication materials to convey system changes.
• Represent leadership in operational meetings and assist in resolving project issues.
• Ensure provider data quality and monitor complaints related to system migration.
• Act as a liaison between departments to address project-related inquiries.

Skills

• Bachelor's degree with 3-5 years of experience in a health plan environment.
• Strong understanding of provider network management and health system hierarchy.
• Knowledge of provider network contract terms and claims adjudication.
• Proficiency in data collection, analysis, and reporting.

Preferred Skills

• Experience with Health Edge/HRP systems.
• Familiarity with Salesforce in a health plan setting.
• Experience in Medicaid plans.

We are committed to fostering a diverse and inclusive workplace where all individuals are valued and respected. We encourage applications from candidates of all backgrounds and experiences.

By applying for this position, you acknowledge and agree that Horizontal Talent may contact you regarding your application using automated technology, including phone calls, SMS/text messages, or email, which may be delivered by our virtual AI recruiter, Alex.

Please apply through this online posting or by visiting our Job Board at www.horizontaltalent.com/job-board. Applications will be accepted for 4 weeks. For those that join the team, we offer competitive compensation and benefits including medical, dental, vision, and retirement. Check out all we have to offer and how you can become part of the Horizontal Talent Team. The pay range for this role is $41 - $78 per hour based on qualifications and experience.

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