Job Summary A Provider Operations Associate Analyst is responsible for identifying and solving ... Discounts directory with deals on the things that matter to you, like restaurants, phone plans ...
Job Summary A Provider Operations Associate Analyst is responsible for identifying and solving ... Discounts directory with deals on the things that matter to you, like restaurants, phone plans ...
Job Summary A Provider Operations Associate Analyst is responsible for identifying and solving ... Discounts directory with deals on the things that matter to you, like restaurants, phone plans ...
Job Summary A Provider Operations Associate Analyst is responsible for identifying and solving ... Discounts directory with deals on the things that matter to you, like restaurants, phone plans ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Livonia, MI · On-site
$51K - $63K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Livonia, MI · On-site
$51K - $63K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Oak Park, MI · On-site
$50K - $62K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Oak Park, MI · On-site
$50K - $62K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ann Arbor, MI · On-site
$54K - $67K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ann Arbor, MI · On-site
$54K - $67K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ypsilanti, MI · On-site
$49K - $61K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ypsilanti, MI · On-site
$49K - $61K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ann Arbor, MI · On-site
$54K - $67K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ann Arbor, MI · On-site
$54K - $67K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ypsilanti, MI · On-site
$49K - $61K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ypsilanti, MI · On-site
$49K - $61K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ann Arbor, MI · On-site
$53K - $66K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
RESTAURANT TECHNOLOGY MANAGER (Operations Specialist)
Ann Arbor, MI · On-site
$53K - $66K/yr
Preferred Associate's or Bachelor's degree in Information Technology, Computer Science, Engineering ... on cutting-edge restaurant technology while partnering with a team committed to operational ...
Operations Associate, Lansing, #124
Lansing, MI · On-site
$14/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Operations Associate, Lansing, #124
Lansing, MI · On-site
$14/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Operations Associate, Midtown, #164
Detroit, MI · On-site
$14.65/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Quick apply
Operations Associate, Midtown, #164
Detroit, MI · On-site
$14.65/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Operations Associate, Midtown, #164
Detroit, MI · On-site
$14.65/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Operations Associate, Midtown, #164
Detroit, MI · On-site
$14.65/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Operations Associate, Berkley, #195
Berkley, MI · On-site
$14.40/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Operations Associate, Berkley, #195
Berkley, MI · On-site
$14.40/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Operations Associate, Berkley, #195
Berkley, MI · On-site
$14.40/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Quick apply
Operations Associate, Berkley, #195
Berkley, MI · On-site
$14.40/hr
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Quick apply
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Quick apply
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Gopuff is looking for Operations Associates (OAs) to join the operations team. Directly reporting ... in a restaurant or retail environment (preferred, not required) -The ability to work a fluid ...
Restaurant Operations Associate information
What jobs make $3,000 a month without a degree?
What is a restaurant operations associate?
What is the 30/30/30 rule for restaurants?
What is the role of an operations associate?
Full-time
Medical, Vision, Retirement
Posted 8 days ago
Corewell Health rating
6.9
Based on 771 frontline employees who took The Breakroom Quiz
455th of 890 rated healthcare providers
Job description
A Provider Operations Associate Analyst is responsible for identifying and solving issues relating to the performance of the provider operations business and is a subject matter expert to the Provider Operations Associate. To do so, vast amounts of data and information must be analyzed and reviewed with the cooperation of the provider network community and internal departments. The operations analyst is responsible for the oversight of the provider enrollment data and issue resolution arising throughout the entire Priory Health eco system. Operation Analyst must possess strong attention to detail along with business acumen fueled by sharp analytical skills.
Essential Functions
- Discerns, initiates, and maintains the complex provider enrollment information in both Evips and Facets systems accurately and timely to ensure the annual multi-million-dollar claims payout and the annual multi-million-dollar Physician Incentive Program settlement payout to provider's is correct.
- Performs analytics to determine provider to member primary care affiliation when providers move from locations. This involves, but not limited to, collaboration with physician groups to best relocate members to the appropriate primary care provider, collaboration with Priority Health member enrollment division, and Provider Network Performance division all to ensure that Priority Health members are receiving the right care with the right provider.
- Performs analysis, and independent evaluation and ongoing monitoring of provider credentials (licensure, malpractice, etc.), as applicable, in order to meet Priority Health criteria, state, accreditation and CMS compliance requirements and high standards. Ensures collection, storage and accuracy of product specific data for CMS service area expansion, network adequacy reporting and Medicaid Provider reporting. Performs gap analysis.
- Manages and implements organizational operational efficiencies for the entire network of 82,000+ providers, provider groups, facilities, and national network providers, to resolve complex provider issue resolution. Resolves complex issues that results from the entire PH eco system, i.e., medical authorization, provider contract setup, claims payment, finance, etc.
- Manages the repricing of claims for PH national provider network (Cigna) including overall review of claims, denying claims, determining accurate payment of claims, and ensure annual payment of multi-million dollar access fees are paid accurately and timely to all national networks.
- Departmental subject matter expert who determines root cause and takes necessary action to resolve. Ensure effective communication of resolution to appropriate next level. Acts as a mentor to Provider Operations Associate Analyst.
Qualifications
Required
- High School Diploma or equivalent
- 2 years of relevant experience in healthcare, insurance, managed care and/or comparable industry or related field
- 1 year of relevant experience in an operations area
Preferred
- Associate's degree or equivalent
- Bachelor's degree
- 1 year of relevant experience with accreditation and/or regulatory bodies like NCQA, CMS, MDCH, TJC, etc., standards related to credentialing and/or billing, and/or quality auditing requirements.
- 1 year of relevant experience with provider configuration, credentialing, claims and/or comparable systems.
- 1 year of relevant experience in running reports utilizing Access databases, Business Objects Report Writer, and/or comparable reporting tools.
- CRT-Provider Credentialing Specialist, Certified (CPCS) - NAMSS National Association Medical Staff Services
- CRT-Professional Medical Services Management, Certified (CPMSM)
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
How Corewell Health cares for you
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance
- Traditional and Roth retirement options with service contribution and match savings
- Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department Name
Provider Resolution - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8:00 a.m. - 5:00 p.m.
Days Worked
Monday - Friday
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
What Corewell Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Corewell Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Grand Rapids, MI, US