Business Analyst
Why work at OpTech?
OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list of openings, pleas e visit our website at www.optechus.com.
Location: Onsite in Detroit 1 day per week
Engagement Description – (Job Description)
• Responsible for the processing of practitioner and organization/facility provider applications for credentialing and recredentialing; requesting primary source documentation, processing documentation requirements, verifying information received, updating information in the system of record, evaluating over all case categorization and reporting findings to the Medical Director and Enterprise Credentialing Committee.
• Resolve inquiries related to credentialing file disposition.
• Provide credentialing status information for group administrators, physicians and their staff, Provider Services, Customer Service and Network Development Inquiries.
• May be designated by the leader to attend Credentials Committee meetings and conduct internal meetings and participate in auditing processes.
• Assist with special projects and job aids as needed.
Top 3 Required Skills/Experience –
• Two (2) to five (5) years of work experience in provider enrollment, contracting, medical practice or hospital business office role and/or credentialing related field required.
• Knowledge of related state/federal regulations, NCQA, DIFS, MDHHS and CMS standards for credentialing required.
Required Skills/Experience – The rest of the required skills/experience. Include:
• Knowledge of CAQH required.
• Excellent organizational skills with attention to detail required.
• Excellent verbal and written communication skills required.
• Ability to handle and prioritize multiple case files and timelines required.
• Ability to work effectively independently or in a team environment required.
• Intermediate knowledge of Microsoft Word, Excel, Access, PowerPoint, and internet use required.
Preferred Skills/Experience – Optional but preferred skills/experience. Include:
• Excellent interpersonal skills and the ability to interact with internal/external customers.
Education/Certifications – Include:
• Associate degree preferred.
Why work with us? We are a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work with us, not only do you get health and dental benefits on the first day of employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! We are an EOE, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. https://www.optechus.com/eeo_self_identification/