Managed Care Analyst I

Driscoll Careers

Not specified
Maintain provider credentialing databases
Track license and certification expirations
Execute medicare and medicaid enrollment
Driscoll Careers is seeking a Managed Care Analyst I to oversee the credentialing and enrollment processes for healthcare providers. The ideal candidate will have experience in provider relations, knowledge of payer credentialing, and strong organizational skills

Job Summary

  • The role is responsible for all aspects of the credentialing, re-credentialing, and enrollment process for hospital and hospital-employed providers.
  • Employees must maintain up-to-date data in credentialing databases and ensure timely renewal of licenses and certifications.
  • The position requires assisting with establishing administrative and financial opportunities related to contract negotiation and implementation.

Matching Summary

Match Score: 75

Driscoll Careers is seeking a Managed Care Analyst I to oversee the credentialing and enrollment processes for healthcare providers. The ideal candidate will have experience in provider relations, knowledge of payer credentialing, and strong organizational skills.

Skills & Requirements

Must-have

  • Maintain provider credentialing databases
  • Track license and certification expirations
  • Execute Medicare and Medicaid enrollment
  • Verify provider documentation and compliance
  • Manage payer contract implementation

Nice-to-have

  • Experience with EPIC system
  • Strong analytical and organizational skills
  • Ability to work independently in fast-paced environment
  • Collaborative team-oriented demeanor

Key Requirements

  • Bachelor's degree in Business or Health Care Administration preferred
  • 3-5 years of credentialing or enrollment experience
  • Knowledge of payer processes and federal requirements

Work Rights

Not specified

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