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Provider Compliance Senior Analyst
1 month ago
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply
Our people make all the difference in our success.
Position Summary:
Provider Compliance works to ensure the integrity of the Express Scripts networks for all Clients and Members. The Provider Compliance Senior Analyst is responsible for assisting in the daily support and preparation of the provider termination process. This position will work cross functionally with several different groups collecting and reporting on termination information.
Essential Functions:
- Ensure network providers maintain compliance with state and federal regulations, as well as ESI's Provider Manual and Provider Agreement.
- Liaison for internal Compliance related inquiries and projects
- Identify and align business process efficiencies between our teams and cross functional partners
- Focus on process improvement, automation, technology, and cross-functional partnerships to drive change and deliver operational excellence
- Thrive in a high-pressure environment with multiple competing priorities
Ideal Candidates Will Have a Combination of the Following:
- Bachelor's degree in related field preferred, HS Diploma required
- 2-3 years relevant work experience
- Proficient with Microsoft Office suite (Word, Excel, PowerPoint and Outlook)
- Strong written and verbal communication skills
- Exceptional follow through skills, an attention to detail and the ability to handle multiple tasks and meet daily deadlines
- Ability to demonstrate initiative and independent thinking
- Ability to think strategically while solving tactical challenges
- Demonstrated ability to work with cross-functional departments to resolve issues
- Detail oriented with strong analytical and problem-solving skills
- Ability to adapt in a dynamic and fast-paced work environment and make independent decisions
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.
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