Analyst, Provider Data Management

2 weeks ago

Pune, Maharashtra, India Evolent Health Full time

Your Future Evolves Here

Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a differencein everything from scrubs to jeans.

Are we growing? Absolutely and Globally. In 2021 we grew our teams by almost 50% and continue to grow even more in 2022. Are we recognized as a company you are supported by for your career and growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as "Great Places to Work" in 2021. In 2020 and 2021 Evolent in the U.S. was both named Best Company for Women to Advance list by and earned a perfect score on the Human Rights Campaign (HRC) Foundation's Corporate Equality Index (CEI). This index is the nation's foremost benchmarking survey and report measuring corporate policies and practices related to LGBTQ+ workplace equality.

We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you're looking for a place where your work can be personally and professionally rewarding, don't just join a company with a mission. Join a mission with a company behind it.

What You'll Be Doing:

The Analyst, Credentialing Operations(PDM) will be a dynamic role that will encompass determining provider types who require credentialing, initiating the Primary Source Verification Process (PSV), performing provider outreach, and administrative auditing. This position reports to the Associate Director, Credentialing Operations.

Collaboration Opportunities:

The Analyst, Credentialing Operations team(PDM) collaborates with the Provider Data Management (PDM) team through our Jira ticking system.

What You Will Be Doing:

Maintenance of provider data within the credentialing platform Ticket intake and triage for internal/externally submitted tickets. Responsible for credentialing and re-credentialing files, including both Type I and Type II files. Maintain working knowledge of and comply with NCQA credentialing and recredentialing guidelines. Maintain working knowledge of and comply with partner specific credentialing and recredentialing guidelines, policies, and procedures. Ongoing monthly monitoring of exclusions, sanctions, and adverse events Represent Credentialing department in meetings and delivering special projects and maintaining concurrent projects as assigned. Establishing and maintaining excellent relationships, internally and externally including communication to the leadership team. Maintain contractual service level and/or operational level agreements, as applicable.

Qualifications - Required and Preferred:

Bachelor's Degree or equivalent years of work experience-Required. Excellent verbal and written communication skills- Required . Detail oriented with good organizational skills-Required. Ability to work in an agile space and adapt to fluctuating situations-Required. Takes initiative and works independently - Required. Ability to time manage and reprioritize tasks/projects as appropriate Required. Microsoft Office Suite, including Word, Excel, PowerPoint, Outlook-Required. Minimum of two to three years' experience in healthcare field related to credentialing, provider enrollment, provider services, and/or configuration-Preferred . General understanding of US health care, Managed Care Organizations, Medicare and/or Medicaid-Preferred.

Mandatory Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

​

Evolent Health is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status .

  • Analyst, Provider Data Management

    2 weeks ago

    Pune, Maharashtra, India Evolent Health Full time

    Your Future Evolves HereEvolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We...

  • Sr Analyst, Provider Data Management

    2 weeks ago

    Pune, Maharashtra, India Evolent Health Full time

    Your Future Evolves HereEvolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to work each day. We believe in embracing new ideas, challenging ourselves and failing forward. We respect and celebrate individual talents and team wins. We...

  • Software Development Senior Analyst

    2 weeks ago

    Pune, Maharashtra, India NTT DATA Full time

    Job Description 3 years+ experience in a Test Analyst Role • SEPA / Payments Experience a must • GPPHC or GPPSP experience required • Excellent communication skills • MQ, API, SQL/Oracle experience desirable • Jira / Confluence experience desirable • ISTQB or equivalent qualification desirable Working with onshore/offshore mixed test delivery...

  • Software Development Senior Analyst

    2 weeks ago

    Pune, Maharashtra, India NTT DATA Full time

    Job Description3 years+ experience in a Test Analyst Role SEPA / Payments Experience a must GPPHC or GPPSP experience required Excellent communication skills MQ, API, SQL/Oracle experience desirable Jira / Confluence experience desirable ISTQB or equivalent qualification desirable Working with onshore/offshore mixed test delivery teams, the Test...

  • Digital Solution Cnslt. Analyst

    2 weeks ago

    Pune, Maharashtra, India NTT DATA Full time

    Job DescriptionNTT DATA Services is looking for a Digital Solution Consultant Analyst to join the team in Pune, Mahārāshtra, India. If you're someone who loves tackling complex applications and system integrations, this might be the perfect opportunity for you.Create and maintain test deliverables and artifacts for Finance applicationsPrepare and modify...

  • Digital Solution Cnslt. Analyst

    2 weeks ago

    Pune, Maharashtra, India NTT DATA Full time

    Job DescriptionReq ID:283453NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Digital Solution Cnslt. Analyst to join our team in Remote, Mahārāshtra (IN-MH), India (IN).We...

  • Data Operations Analyst

    2 weeks ago

    Pune, Maharashtra, India MASTER MIND CONSULTANCY Full time

    Keyskills Good comm skills Stakeholder management SAP is amust. KeyJob responsibilities monitor transactions Create modifyand and deleting of customer profile customer masterdata. (Acc to me a right match would be someone really good in dataoperations Analysis on customerside.) Keywords for job portals : Data analyst Business analystCustomer masterdata....

  • Data Analyst

    2 weeks ago

    Pune, Maharashtra, India Idyllic Services Full time

    Senior Data Analyst - PySparkDomain: BFSIDefine and obtain source data required to deliver insights and use casesDetermine data mapping to join multiple data sets across sourcesCreate methods to report data inconsistencies for user feedbackPropose suitable data migration sets to stakeholdersAssist teams with processing data migration setsHelp plan, track,...

  • Data Analyst

    2 weeks ago

    Pune, Maharashtra, India Alp Consulting Limited Full time

    Data Analyst is expected to liaison with the Data Factory to engage with the source systems for data ingestion for all the markets. Data Analyst will work across the markets along with the BA's to identify the sources, get the data ingested into IHUB and co-ordinate with the Data Factory team for the RDL(Raw Data Layer) CDL(Confirmed Data Layer) data...

  • Data Analyst

    2 weeks ago

    Pune, Maharashtra, India Idyllic Services Full time

    Senior Data Analyst - PySpark Domain: BFSI Role Description • Define and obtain source data required to successfully deliver insights and use cases.• Determine the data mapping required to join multiple data sets together across multiple sources.• Create methods to highlight and report data inconsistencies, allowing users to review and provide...

  • Digital Solution Cnslt. Analyst

    2 weeks ago

    Pune, Maharashtra, India NTT DATA Full time

    Job Description Req ID: NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Digital Solution Cnslt. Analyst to join our team in Remote, Mahārāshtra (IN-MH), India (IN).We are...

  • Data Analyst

    2 weeks ago

    Pune, Maharashtra, India TRIMURTI HR SOLUTIONS & CONSULTANCY SERVICES Full time

    Data Analyst Roles and Responsibilities Include:Using automated tools to extract data from primary and secondary sourcesRemoving corrupted data and fixing coding errors and related problemsDeveloping and maintaining databases, data systems – reorganizing data in a readable formatPerforming analysis to assess quality and meaning of dataFilter Data by...

  • Insights Data Analyst

    2 weeks ago

    Pune, Maharashtra, India TransUnion LLC Full time

    What We'll Bring: The Insights Data Analyst is responsible for providing operational support, analytical support, and process improvement for the Enterprise Feedback Management Platform and other market research capabilities to inform and shape business decisions, and guide our journey towards an enhanced consumer and customer experience. What You'll...

  • Data Analyst

    2 weeks ago

    Pune, Maharashtra, India MICHELIN Full time

    Data Analyst - Azure Data Engineer KEY EXPECTED ACHIEVEMENTSFollowing Lean & Agile methods, quality and security (SecByD) rules, and state of the art of DevOps practices under the supervision of senior and lead engineer:Software, creating business value, is developed and maintained:The beautiful* and clean** code is written. Testings and debugging are...

  • Insights Data Analyst

    2 weeks ago

    Pune, Maharashtra, India TransUnion LLC Full time

    What We'll Bring:The Insights Data Analyst is responsible for providing operational support, analytical support, and process improvement for the Enterprise Feedback Management Platform and other market research capabilities to inform and shape business decisions, and guide our journey towards an enhanced consumer and customer experience.What You'll...

  • Data Analyst

    2 weeks ago

    Pune, Maharashtra, India TRIMURTI HR SOLUTIONS & CONSULTANCY SERVICES Full time

    Data Analyst Roles and Responsibilities Include: Using automated tools to extract data from primary and secondary sources Removing corrupted data and fixing coding errors and related problems Developing and maintaining databases, data systems – reorganizing data in a readable format Performing analysis to assess quality and meaning of data Filter Data by...

  • Data Analyst

    2 months ago

    Pune, Maharashtra, India advanced risk analytics private limited Full time

    Apply for Data Analyst, Career Progress Consultants in Pune for 0 - 3 Year of Experience on

  • Data Analyst

    4 weeks ago

    Pune, Maharashtra, India advanced risk analytics private limited Full time

    Apply for Data Analyst, Career Progress Consultants in Pune for 0 - 3 Year of Experience on

  • Data Analyst

    2 weeks ago

    Pune, Maharashtra, India Smith+Nephew Full time

    Role:Data AnalystLocation: PuneLife Unlimited. At Smith+Nephew, we craft and manufacture technology that takes the limits off living.Are you passionate about making a global impact in Data Analytics? Then this is the position which you should apply In this role you will contribute in the Global Data Analytics COE's projects by actively partnering with...

  • Clinical Data Analyst

    2 weeks ago

    Pune, Maharashtra, India Huquo Full time

    Position : Clinical Data Analyst EPIC ClarityLocation : : 3+Job Description :We are seeking a skilled and experienced Clinical Data Analyst to join our team and support our Epic Systems implementation. The ideal candidate will have a strong background in healthcare data analysis and proficiency with Epic Systems software.The primary responsibilities include...