Featured Health IT Job: Network Facility and Ancillary Analyst – SWHR CIN

We like to regularly feature a healthcare IT job that might be of interest to readers. Today, we’re featuring the Network Facility and Ancillary Analyst – SWHR CIN position that was recently posted on Healthcare IT Central. This position was posted by Texas Health Resources and is in Texas.

Here’s a description of the position:

Southwestern Health Resources CIN seeks to hire a Network Facility and Ancillary Analyst to work full time for their Network Development Department.

Please note: Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health employee.

The address is 8150 Brookriver Drive, Dallas, TX 75247.

Salary range is Min. $21.24/hr. to Max. $34.32/hr. – based on relevant experience

Work Schedule:

  • Full Time: 1st Shift

Job Description:

The position is designed to support contractors in network gap identification, support network in adequacy identification and be the conduit between network and providers. The position will be expected to understand network relationships, validate data and network accuracy, identify network gaps and ensure compliance with CMS requirements as it pertains to the health plans.

Essential Functions:

  • Describe requirements, terms of contract, performance requirements, etc.
  • Perform network gap analysis to identify unmet parts of the service area.
  • Work in conjunction with the contracting department to fill identified gaps.
  • Make sure contracts are loaded into all other necessary systems (claims, UM, credentialing, etc.)
  • Receive and process all incoming network issues and resolve.
  • Able to enter information into Master Data Manager and ensure quality.
  • Supervise quality assurance staff.
  • Validates data for quality improvement.
  • Run provider directories and rosters as needed.
  • Use external sources to validate accuracy of physicians, groups, facilities and any other provider.
  • Document process, policy and procedure.
  • Audits data on quarterly basis.
  • Other additional duties to meet the ongoing needs of the organization.

The ideal candidate will possess the following qualifications:

  • Bachelor’s Degree in Healthcare, Business or related field required
  • 5 years’ experience in provider or health plan contracting, network development, business development, and/or strategic planning required
  • Experience with Mapping Software Maptitude and SQL highly preferred
  • Experience with Quest Analytics tool, Sales Forces, and/or Cactus a plus

Skills:

  • Must be proficient in relevant computer applications such as Microsoft Office
  • Must be detail oriented
  • Must be dependable, exhibit strong initiative, and be self-motivated
  • Must possess excellent communication skills
  • Must be able to frequently problem solve, make decisions, interpret data, organize and analyze work flow, write, plan, and use simple arithmetic.

Additional Information

  • Organization: Texas Health Resources
  • Location: Dallas, Texas, United States
  • Overtime Status: Exempt
  • Shift: Day Job
  • Schedule: Full-time
  • Pay Basis: Hourly
  • Minimum Salary: US Dollar (USD) 21.24
  • Market Salary: US Dollar (USD): 26.80
  • Maximum Salary : US Dollar (USD) 34.32

Looks like a great opportunity for those with experience with network development. If this looks like a position that would interest you, check out the full details for the job and how to apply.

As always, you can search our Health IT job board for a variety of jobs from leading companies in the industry. You can also register for free and post your resume where recruiters search for job candidates regularly.

About the author

John Lynn

John Lynn

John Lynn is the Founder of the HealthcareScene.com, a network of leading Healthcare IT resources. The flagship blog, Healthcare IT Today, contains over 13,000 articles with over half of the articles written by John. These EMR and Healthcare IT related articles have been viewed over 20 million times.

John manages Healthcare IT Central, the leading career Health IT job board. He also organizes the first of its kind conference and community focused on healthcare marketing, Healthcare and IT Marketing Conference, and a healthcare IT conference, EXPO.health, focused on practical healthcare IT innovation. John is an advisor to multiple healthcare IT companies. John is highly involved in social media, and in addition to his blogs can be found on Twitter: @techguy.

   

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