Payer/Provider Network Analyst ICP

Looking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.

HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.

Join us. Let's go beyond expectations and transform healthcare together.

HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With more than 16,000 team members, 3,700 affiliated providers and over 1,100 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.

• Database Administration: Updates and maintains the membership database ensuring data is accurately entered. Prepares and runs reports from the provider membership database, initiating database changes needed to more accurately report on membership. Provides new and terminating provider lists as well as provider addendums to all payers on monthly basis.
  
• Reporting & Analysis: Demonstrates ability to apply critical thinking and problem-solving skills and work collaboratively with Payer/Provider Relations Director to develop a variety of standard, ad-hoc and customized payer/provider reports. Provides support interpreting and presenting data, including presentation of data to individuals and groups as needed. Work with large amounts of payer data and analyze the data for trends and patterns and attribution changes. Provides analytical expertise and assistance by effectively preparing and communicating payer information as requested while ensuring consistent application of data definitions within reporting.
  
• Reconciliation and Auditing: Works to validate, QA and perform routine membership database audits assuring physician/facilities are accurately loaded with all required data. Leads payer reconciliation and validation efforts for data provided by payers, vendors, and/or third parties. Maintains current knowledge of plan participation changes, initiates and tracks corrections with payers, and ensures providers are affiliated and reporting accurately.
  
• Communication and Collaboration: Interacts and works collaboratively to integrate, coordinate, and manage data integrity and reporting out of multiple systems. Communicates and collaborates with other departments in managing day-to-day aspects of projects, provider attribution inquiries, identifying resources needed and choosing the most efficient method of data extraction and analysis.
  
• Performs other duties as assigned.