MLTC-Provider Network Analyst

Company: RiverSpring Living
Location: Bronx
Posted on: August 5, 2022

Job Description:

Overview:
RiverSpring Health Plans, is part of a group of long term care affiliates under the brand name of RiverSpring Living. RiverSpring Living provides a full range of care solutions including nursing home care, managed long term care, assisted living programs, senior housing, rehabilitation services and specialized services such as elder abuse prevention and memory care. - Collectively, RiverSpring Living empowers over 18,000 patients, residents and members to live forward every day. RiverSpring Health Plans is looking for a full time Provider Network Analyst to join our dynamic team!

Responsibilities:
The Provider Network Analyst will be responsible to prepare and process requests for provider contracts, letters of agreement, contract amendments, and notices. S/he will review provider documents, including provider application, attestations, and credentials. -Will conduct the provider credentialing. - Prepare required provider network data for submissions, review submission results and prepare responses to network deficiencies. - Maintain and update databases, including the provider database, directory, and rate tables. Generate data reports. - - Respond to staff and provider network inquiries.

Qualifications:
Bachelor's degree, (3) three years of related experience including working knowledge of Medicare and Medicaid provider network requirements. Strong verbal and written communications skills. - Must be detailed oriented and have the ability to meet stringent deadlines and adjust priorities. - -Proficient in MicroSoft Office. - - -EOE

Keywords: RiverSpring Living, New Rochelle , MLTC-Provider Network Analyst, Professions , Bronx, New York