JOB OVERVIEW:
This position is responsible for analyzing Medical provider data and provide
reports that are required to arrive at various business performance indicators
for the Provider performance monitoring and Price Inflations. The incumbent
will also produce time-sensitive information and provide actionable data that
will assist the Provider Performance Manager to carry out important data-
driven business decisions. The position requires ingenuity and creativity to
obtain case information not readily available, along with the ability to work
independently with minimum supervision. Good organizational skills are needed
to manage a high volume of assigned cases as well as the regular exercise of
independent judgment and initiative to investigate allegations.
The analyst must have the analytical ability necessary to review, interpret
and evaluate relevant information essential in resolving sensitive and complex
investigations.
RESPONSIBILITIES:
REQUIREMENTS:
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