This position offers a high-impact opportunity to solve complex data challenges and gain elite expertise in provider data cleansing—a specialized skill set in high demand across the healthcare industry. You will work in a casual, high-speed environment with a collaborative team that provides hands-on training for managing complex cases and data suppressions.
salary: $22 - $23 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
- Perform 100% provider data reconciliation by validating, auditing, and updating information within provider information systems (AMISYS) to ensure data integrity.
- Support the end-to-end contract submission process, ensuring confirmation with Corporate standards and securing hardcopy or scanned contract images.
- Coordinate corporate-wide data verification processes for contracted providers and interface with credentialing staff to ensure all data systems remain congruent.
- Track and monitor provider compliance with contract deliverables, submission rules, and exception requests, communicating status updates to the Manager on a monthly basis.
- Maintain and routinely update contract databases and internal spreadsheets to ensure accurate record-keeping.
- Collect, track, and compile statistical data to produce and distribute daily and monthly reports.
- Provide support to Contract Conferences and ensure appropriate internal controls are established to account for all contract documentation.
- Comply with all company policies and standards while performing other duties as assigned to support the health plan’s goals.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
