O Ability to maintain attendance to support required quality and quantity of work. O Strong self-starter with time management skills. O Excellent verbal and written communication skills. O Good working knowledge of GIS and Geocoding tools is a bonus. O Proficient working knowledge of Microsoft Office products (MS Excel, MS Access, MS Word, Etc.)
O Must be highly analytical and detail oriented with ability to creatively problem solve. O Utilizes State approved GIS (Geographic Information System) to perform the tasks as requested. O Provide data entry and review to meet unit needs. O Produce and give presentations on analysis conducted. O Follow unit process for data integrity checks, issuance of correct actions plans or other documents within defined time frames. O Track and monitor provider network terminations, perform impact/disruption analysis as necessary. O Develops, prepares, and ensures all provider network analysis reports are completed accurately and timely. O Ability to review data and reports for timeliness, accuracy, and provider network adequacy including point in time, across time, and/or across programs.
O Analyze MCO submitted reports and data. O Monitor, review and analyze MCO provider networks to ensure access to care. O Perform data audits utilizing developed business requirements. O Designs and develops audit tools that can interface with existing data sources utilizing applications such as MS Excel, Access, or SQL database functions. O Develops queries, VBA Modules and procedures, and prepare reports with metric/data analysis based upon data related to the Managed Care Organizations (MS Access, MS Excel).
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