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# Provider Network Operations Data Analyst

- **Company:** AmeriHealth Caritas
- **Location:** Southfield, MI, United States (Remote available)
- **Contract:** Permanent contract
- **Skills:** Microsoft Access, Microsoft Excel, Databases, Pivot Tables, Computer Network Operations
- **Published:** May 19, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=d1d5d79965356509

## About the Role

* Bachelor's degree or equivalent work experience required.
 * At least one year of experience working with healthcare providers and provider relations
 * 3 years of experience in managed care or health insurance preferred.
 * Proficiency in Microsoft Excel & Access (formulas, pivot tables, charts/graphs).
 * Strong analytical skills (non-IT focused)

## Description

* Remote - The associate can work remotely from anywhere in the Detroit Metro area, Michigan, and must be able to attend two weeks of in-office training at our Southfield, Michigan, location., * Serve as a primary point of contact for providers, ensuring timely resolution of inquiries and issues.
 * Communicate plan policies, procedures, and regulatory updates clearly and professionally.
 * Maintain and monitor provider data to ensure accuracy across all systems.
 * Review and process provider data intake forms for completeness.
 * Track and document provider data changes to ensure timely updates and compliance with turnaround standards.
 * Escalate discrepancies or requests that conflict with business processes or contract terms.
 * Ensure timely and accurate management of provider contracts, including terms and reimbursement details.
 * Investigate and respond to member complaints within established timelines.
 * Identify and report compliance issues in accordance with plan policies and procedures.
 * Demonstrate working knowledge of provider databases (e.g., Facets) and reimbursement methodologies.
 * Collaborate with internal departments to manage medical costs and support strategic initiatives.
 * Demonstrates working knowledge of Facets, particularly the provider database, and consistently communicates updates, such as additions, deletions, or corrections, to the provider maintenance department.


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