Provider Data Management Processor

Job Summary

NTT DATA, Inc. is currently seeking a Provider Data Management Processor to join our team. Our Client is one of leading Health Plans in US. This is a remote role.

Responsibilities

• Analyzing and processing provider transactions in accordance with plan provisions.
• Following the policy and procedure which is defined by the customer.
• Securing PHI information.
• Established working knowledge and application of specialized technical skills.
• Understanding how work impacts results for their area.
• Demonstrating knowledge of internal operations and developing relationships to facilitate workflow.
• Knowledge of related regulations and standards.
• Strong understanding of current processes and procedures and identifying opportunities for improvement.
• Completing a wide range of tasks and assignments, typically non-routine and variable in nature.
• Resolving more complex situations by applying demonstrated knowledge and skills generally acquired through job experience.

Qualifications

• High school Diploma or equivalent.
• 3+ years of experience in Health care processing (Provider Data Management preferred, Claims or other Healthcare Payer/ Provider experience).

Preferred Skills/Experience

• Experience in Provider Data Management and/ or Provider Credentialing.
• Experience in Appian, ServiceNow is a plus.
• 3+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web based applications.
• 3+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word.
• Ability to type 40 WPM.

About NTT DATA

NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.

Key skills/competency

• Provider Data Management
• Healthcare Processing
• Claims Processing
• PHI Security
• Policy Adherence
• Workflow Optimization
• Appian
• ServiceNow
• Microsoft Office Suite
• Data Analysis