Provider Data Quality Admin (Hybrid - Troy, MI) - Health Alliance Plan
EDUCATION/EXPERIENCE REQUIRED:
- Associate degree in Computer Science, Business, or related field or an additional two (2) years of relevant and related experience may be considered in lieu of education requirement.
- Three (3) years of experience in using PC-based software packages including relational database systems, spreadsheet, word processing and statistical software.
- Minimum of two (2) years of experience in data analysis.
- Minimum of two (2) years of experience in the health insurance industry.
- Experience in provider data as it relates to maintenance, configuration, contracting and/or reporting.
- Demonstrated mathematical and analytical ability.
- Demonstrated organizational and time management skills.
- Knowledge of health care benefits, structures, and insurance procedures.
- Demonstrated knowledge of credentialing and contracting processes.
- Experience with database reporting tools. Proficiency in MS Office, specifically Excel and Access required.
- Understanding of healthcare industry and managed care concepts.
- Knowledge of Windows, Microsoft Excel and Word, Query Tools (COGNOS, etc.)
- A high level of human relations skills.
- Ability to adapt to a constantly changing environment.
- Demonstrated ability to coordinate and perform necessary follow-up for system related projects.
- Demonstrated ability to collect and prepare data for written/oral presentations.
- Demonstrated ability to conduct an oral presentation.
- Demonstrated ability to communicate effectively.
- Ability to interact with outside sources and maintain professional contacts.
- Must be able to work effectively with persons of varying position levels and diverse interests.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.