Jobs
>
Los Angeles

    Database Directory Assurance Analyst- HYBRID - Los Angeles, United States - MedPOINT Management

    MedPOINT Management
    MedPOINT Management Los Angeles, United States

    1 week ago

    Default job background
    Description

    Job Description

    Job Description

    Summary

    Under the general direction of Provider Network Operations (PNO) Project Manager, the Directory Data Assurance Analyst is responsible for ensuring accurate, timely, and efficient reporting of Client IPA provider network data to the Health Plans, State or Federal entities. This position's primary functions are managing scheduled and ad-hoc reporting needs, troubleshooting data integrity issues and analyzing data. The Directory Data Assurance Analyst will play a significant role in supporting the department's strategic goals.

    Duties and Responsibilities

    · Complete monthly, quarterly, semi-annual, annual Health Plan, State or Federal requested Provider Directory/Network validation Reports

    · Prepare Provider Network Reports for Hospital & Health Plans Ops, Utilization Management, Credentialing, and Compliance departments

    · Work closely with the PNO Database and Network Management team to ensure reconciliation data received from the Health Plans are updated in the respective Client database

    · Prepare Bi-Monthly Reports to aid in Provider Outreach efforts to maintain database accuracy

    · Perform monthly quality assurance of Client databases to ensure compliance with regulatory requirements

    · Communicate effectively with various internal departments to enhance cross-functional awareness, promote process improvements and identify issues

    · Assist in various mandatory projects such as data cleanup, workflow revisions, and upkeep of maintenance

    · Prepare ad-hoc reports as needed by MedPOINT or Client Leadership Teams

    · Foster open lines of communication with Leadership on any network changes or issues

    · Perform additional duties/assignments as needed

    Minimum Job Requirements

    · High School Diploma or GED required, Bachelor's degree in healthcare, human services or related field preferred

    · Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)

    · EZ-CAP knowledge and experience, a plus

    Skills and Abilities

    · Proven ability to identify, analyze, and interpret trends or patterns in intermediate data sets

    · Ability to multi-task, exercise excellent time management, and meet multiple deadlines

    · Excellent attention to detail, with the ability to communicate and document information accurately

    · Ability to work independently and take direction

    · Ability to quickly learn and use new software tools

    · Demonstrate commitment to the organization's core values

    · Ability to provide and receive constructive job-related feedback

    · Communicates effectively and works well in a team

  • The Wound Pros

    Research Data Analyst- Hybrid

    2 weeks ago

    The Wound Pros Marina del Rey, United States

    **JOB SUMMARY** · **The Research Data Analyst** will play a critical role in supporting research projects within the Clinical Department at The Wound Pros (TWP)]. The primary responsibility of this position is to assist in the execution of research activities, data collection, an ...

  • Consultative Search Group

    Senior Financial Analyst Hybrid

    1 week ago

    Consultative Search Group Los Angeles, United States Full time

    A global law firm consistently ranked among the top firms in the world, is seeking a Senior Financial Analyst - Client & Matter Management to join its dynamic team Los Angeles. Please note that this role may be eligible for a flexible working schedule that allows for a hybrid · A ...

  • Summit Human Capital

    Hybrid Remote Business Data Analyst

    5 days ago

    Summit Human Capital Los Angeles, United States

    Summit Human Capital is seeking a highly motivated Hybrid Remote Business Data Analyst to support one of our largest clients in Richmond, VA. The ideal candidate will meet the following criteria: · Requirements: · 2-3 years of professional experience working with business data ma ...

  • Special Ed Therapy

    Board Certified Behavior Analyst Hybrid or Onsite

    1 week ago

    Special Ed Therapy Whittier, United States

    **ABOUT US** · Epic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Board Certified Behavior Analyst for the school year. · - Location: Whittier, CA · - Location Type: Hybrid; On-Site · - Schedule: Part Time · - Ho ...

  • MedPOINT Management

    Provider Directory Assurance Analyst- Hybrid

    3 days ago

    MedPOINT Management Los Angeles, United States

    Job DescriptionJob Description · Summary · Under the general direction of Provider Network Operations (PNO) Project Manager, the Provider Directory Assurance Analyst is responsible for ensuring accurate, timely, and efficient reporting of Client IPA provider network data to the ...

  • MedPOINT Management

    Provider Directory Assurance Analyst- Hybrid

    1 week ago

    MedPOINT Management Los Angeles, United States

    Job Description · Job DescriptionSummary · Under the general direction of Provider Network Operations (PNO) Project Manager, the Provider Directory Assurance Analyst is responsible for ensuring accurate, timely, and efficient reporting of Client IPA provider network data to the H ...

  • Staffactory LLC

    ESDD Business Analyst and System Test Support HYBRID ROLE CALIFORNIA

    6 days ago

    Staffactory LLC Los Angeles, United States

    ESDD Business Analyst and System Test Support HYBRID ROLE CALIFORNIA · Hybrid Role · sacramento, california · Contractor may be asked to work onsite at the CalPERS Lincoln Plaza campus, to align with staff's · hybrid working model. Some work can be performed offsite. · W2 rat ...

  • Edison International

    Corporate Financial Analyst HYBRID

    3 days ago

    Edison International Rosemead, United States

    Job Description · Schedule · Corporate Financial Analyst [HYBRID] · ( · ) · Schedule · : · Full-time · Job Posting · Job Posting · : · Mar 13, 2024 · - · Ongoing · Job Type · Job Type · : · Finance / Accounting · Primary Location · Primary Location · : · US-CA-Ro ...

  • Camden Kelly Corporation

    0501 (Hybrid) Technical Business Analyst - Your Gateway to Internet Security & Stability

    2 days ago

    Camden Kelly Corporation Los Angeles, United States

    Do you have the analytical acumen to navigate the complexities of internet security? Can you translate intricate requirements into clear functional specifications with the precision of a linguist? If the digital world is your playground and you're fluent in SQL and SDLC, we have ...

  • Edison International

    Corporate Financial Analyst HYBRID

    2 days ago

    Edison International Rosemead, United States

    Job DescriptionSchedule · Corporate Financial Analyst [HYBRID] · ( · ) · Schedule · : · Full-timeJob Posting · Job Posting · : · Mar 13, 2024 · - · OngoingJob Type · Job Type · : · Finance / AccountingPrimary Location · Primary Location · : · US-CA-Rosemead68,900 ...

  • Department of Financial Protection and Innovation

    Associate Governmental Program Analyst

    2 weeks ago

    Department of Financial Protection and Innovation Los Angeles, United States

    **About the DFPI** · The Department of Financial Protection and Innovation (DFPI) is California's financial regulator, working to protect consumers by examining and licensing financial activities and taking action against unfair, deceptive, or abusive practices. We oversee state- ...

  • Department of Conservation

    Research Data Analyst Ii

    1 week ago

    Department of Conservation Los Angeles County, CA, United States

    **In accordance with CCR 249.3, this job control may be used to fill subsequent vacancies.** · **PLEASE NOTE**: All relevant work experience, skills sets, and professional qualifications must be listed on the STD. 678. Applications will be screened based on the information provid ...

  • UCLA Health

    Scheduling Workflow Analyst, Patient Access Org

    1 week ago

    UCLA Health Los Angeles, United States

    **Description** · UCLA Health runs and operates over 200 outpatient clinics located in Southern California with over 3,000,000 outpatient encounters annually. · Working under the direction of the Patient Access Organization's Scheduling Pathways and Technology Director, the Sched ...

  • Department of Industrial Relations

    Recruitment and Retention Analyst

    2 days ago

    Department of Industrial Relations Los Angeles, United States

    **HOW TO APPLY** · **This position will be filled in one of the following locations**: · - Los Angeles: 320 W. Fourth Street, Suite 450 Los Angeles, CA 90013 · - Oakland: 1515 Clay Street, Suite 801 Oakland, CA 94612 · - Sacramento: 2031 Howe Avenue, Suite 100 Sacramento, CA 9582 ...

  • Global HIT

    Financial Analyst

    1 week ago

    Global HIT Los Angeles, United States

    Overview: · We are seeking a highly skilled and detail-oriented Financial Analyst to join our team. As a Financial Analyst, you will play a key role in analyzing financial data, providing insights, and supporting strategic decision-making. This is an excellent opportunity for som ...

  • Department of Transportation

    Associate Governmental Program Analyst

    2 weeks ago

    Department of Transportation Los Angeles County, CA, United States

    **Will Consider Staff Services Analyst** · Under the general direction of the Staff Services Manager I, the incumbent will work independently as the Claims Officer. The Claims Officer is responsible for the entire investigation and evaluation of potential and filed public liabili ...

  • UCLA

    Procurement Analyst

    1 week ago

    UCLA Los Angeles, United States

    The Procurement Analyst will be responsible for evaluating and completing IT purchasing assignments, exercising authority to make IT-related sourcing decisions within defined dollar limit. The Procurement Analyst will work closely with customers across the university to source ha ...

  • CA Science Center

    Associate Governmental Program Analyst

    1 week ago

    CA Science Center Los Angeles County, CA, United States

    This position is in Los Angeles and is eligible for a hybrid telework schedule for employees who have passed their probationary period and can satisfactorily perform their essential work functions independently and remotely. Specific telework schedules may be discussed further du ...

  • Rexford Industrial

    Research Originations Analyst

    1 day ago

    Rexford Industrial Los Angeles, United States

    **Rexford Industrial Realty, Inc. (NYSE: REXR)** is a leading, publicly traded industrial real estate investment and management company operating a $13 Billion industrial real estate portfolio. · **Research Originations Analyst** · We are looking for a Research Originations Analy ...

  • UCLA

    Project Analyst

    1 week ago

    UCLA Los Angeles, United States

    The Project Analyst will support the operations and coordination of the Enterprise Program Management Office (ePMO). This role will act as a resource to ensure compliance with program and project management standards while maintaining a focus on quality assurance. The Project Ana ...