Sanford Health Provider Relations Network Analyst - Provider & Payor Relations in Bemidji, Minnesota
Job Title: Provider Relations Network Analyst | Provider & Payor Relations | Sioux Falls or Fargo
Department : Provider & Payor Relations
Job Schedule: Full Time
Hours Per Shift: 8 hr
The Provider Relations Network Analyst is responsible for administering the installation of assigned provider contracts.
Performs set-up, database loading, and preparation of administrative documents and materials. Responsible for maintenance of the provider database, assigning contracted providers to the correct reimbursement schedules. Facilitates communications and understanding of the Health Plan's Networks. Act as internal liaison to resolve inquiries or issues. Coordinates management operational issues upon implementation. Uses databases that are specific to the EPIC database. Provides reports and data analysis as well as directory and troubleshooting.
Examines a specific problem and understands the perspective of each involved stakeholder. Makes oral presentations and writes reports needed for own work. Uses basic features of two or more Office applications. Demonstrates open, friendly, accepting, and supportive behaviors with team members. Demonstrates experience participating in productive collaborative processes. Processes limited amounts of detailed information with good accuracy. Responds to day-to-day operational priorities while still making progress on project work. Makes oral presentations and writes reports needed for own work.
This position will require data management and entry skills, project management experience, and the candidate to be detailed orientated. It will be working with claim payment from members of the health plan, working on reports for the health plan, geo-mapping, and managing the online directory.
Bachelors Degree in Human Resources, Business or related discipline is required with three or more years of related experience preferred.
Experience in database management preferred. Three plus years of related experience is preferred.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing.
Every day, we show that commitment by delivering the highest quality of care to the communities we serve.
We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care,
leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research,
education and community growth. We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.
We continuously seek new ways to achieve our vision of improving the human condition
here in your community, across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families
and communities. We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application,
please call 1-877-673-0854 or send an email to email@example.com .
Job Function: Health Plan
Job Schedule: Full Time
Req Number: WD04588