Business Analyst

Overview :

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc.

Title: Business Analyst

Work Location: Detroit, MI, 48226

Duration: 12 Months

Job Type: Temporary Assignment

Work Type: Hybrid

Dept: Prov Enr Cred Cont Ops

Engagement 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.

TekWissen Group is an equal opportunity employer supporting workforce diversity.