Provider Network Operations Analyst

Job description

HealthPartners is hiring a Provider Network Operations Analyst. This role p romotes and supports provider network related activities within our division and within the organization to ensure HealthPartners provider networks meet sales, regulatory, marketing and administrative system requirements. They manage and coordinate resolution to complex operational issues related to provider network configuration. This position may lead and/or participate in work groups, conduct training, is responsible for addressing operational processes, including issues and questions both internally and externally, and will track and monitor provider network configuration activities. ACCOUNTABILITIES : Performs other duties as assigned. - Understands and support HealthPartners Provider Electronic Commerce and Operations to effectively promote provider network compliance with regulatory areas, both internal and external. - Understands, supports and participates in provider network adequacy monitoring by regulatory agencies such as CMS, DHS, MDH and NCQA. - Participates in cross department work groups involving new network planning, network changes, and implementation including custom networks, new produc...