Payor Enrollment Analyst

The Payer Enrollment Data Analyst manages and optimizes provider enrollment data under delegated payer agreements. This role ensures data accuracy, compliance with payer and NCQA standards, and supports integration, reporting, and audit readiness. Its key to streamlining workflows, enabling timely reimbursement, and driving operational efficiency.
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-Experience with delegated payer agreements and NCQA audit standards.
-2-4 years' experience in provider enrollment, credentialing or payer data analytics
-Experience in data analysis and reporting tools, including SQL, Power BI, Access, and Alteryx
-Expertise in with enrollment system Verity Credential Stream (PECOS, CAQH) and EHR platforms (e. g., Epic)
-Bachelor's degree in healthcare administration, Business, Data Analytics, etc.