Benefits Analyst - Experienced

Job description

Focuses on performing network analysis for specialty providers and gathering relevant data for benefit and network committee reviews. Focuses on coordinating with providers and assisting with benefit network appeals. Possess strong analytical skills, excellent communication abilities, and a thorough understanding of benefits and provider networks. Executes tasks with some direction provided. Completes analysis of data and program outcomes as assigned. 1. Benefits Program Maintenance and Daily Operations 2. Partnering & Relationships 3. Performance Improvement and Quality 4. Other Duties as assigned - Writes, maintains and supports a variety of reports or queries utilizing appropriate reporting tools. Assists in development of standard reports for ongoing analysis. Help maintain data integrity in systems by running queries and analyzing data. - Ensures that employees who should be eligible for coverage are actually made eligible in a timely and compliant fashion. Ensures that employees who are no longer eligible for coverage are actually made ineligible in a timely and compliant fashion. - Develops employee communication and enrollment plan to ensure compliance with the various noti...