Provider Enrollment & HR Analyst

Provider Enrollment & HR Analyst FLSA Status: Non-Exempt Starting Range: $24.50- $28.57 per hour Located at 899 Main St., Buffalo, NY 35 Hours Full-Time SUMMARY OF DUTIES The Provider Enrollment & HR Analyst is responsible for preparing and submitting applications and supporting documentation for the purpose of enrolling individual physicians and physician groups with payers. The Provider Enrollment & HR Analyst also processes new applications, revalidations, and updates roster, performs confidential administrative tasks associated with the human resource management of the agency. The Provider Enrollment & HR Analyst will maintain HR files in accordance with all mandating guidelines. Builds and runs reports on an as needed basis. Works with multidisciplinary team to develop, track, and monitor quality & compliance indicators, staff in-services, mandatory and elective trainings, and quality improvement information. POSITION RESPONSIBILITIES Provider Enrollment * Maintain updated knowledge of Provider Enrollment regulations and develop new/update existing procedure documentation. * Collaborate with insurance carriers to ensure the team is enrolling new BestSelf programs by following the applicable requirements and enrollment procedures. * Investigate new external electronic platforms used by insurance carriers and ensure the team is prepared to utilize efficiently and effectively. * Receive and analyze all verified documentation for Providers and execute provider enrollment with carriers. * Process new enrollments, revalidations, and making sure all providers are linked with their appropriate sites. * Shares essential updates with providers and internal teams as necessary in weekly summary reports or other correspondence. * Collaborate with the Billing team on enrollment issues to investigate and correct. * Work closely and effectively with the Insurance Carriers and Providers. * Correspond with providers and Program Directors as necessary. * Establish a relationship with the carrier credentialing representative and keep up on any changes or updates with the carriers. * Communicate with providers on any enrollment issues, needs and updates. * Update Providers CAQH accounts. HRIS * Runs various audit reports on a determined frequency from the HRMS to ensure employee data and file documentation is compliant. * Provide reports to HR management team, SMT and/or EMT as requested by the Talent Acquisition and HRIS Manager. * Protects employee data by maintaining access rights to our employee databases and documents. * Assists the Talent Acquisition & HRIS Manager in confidential tasks associated with Human Resource management of the agency. * Enters, updates, and verifies data in HRMS as directed. * Works closely with the other branches within the agency to provide a seamless employee experience as it relates to their career, wages, and benefits. * Serve as a liaison between the agency and our HR systems in developing new processes and resolving any technology issues that may arise. * Using state and national web sites, monitors license and other sanctions monthly. * Develops and maintains mechanisms to track agency wide audit information, such as excel spread sheets and HR software. * Promote agency's Racial Equity and Inclusion concepts. * Builds and maintains an effective, professional, and positive working relationship with all levels of employees * Provides timely, caring, and thorough employee service when employee inquiries are received. * Provide support and guidance to the HRIS and Talent Acquisition teams as needed and as requested. * Maintain confidentially and containment with to remain in compliance with HIPAA and protect employee information at all times. * Completes all trainings required by the agency. * Performs all other duties as assigned. QUALIFICATIONS * Bachelor's degree in Business or Human Resources and 2 years of HR related experience - OR- Associate's degree in Business or Human Resources and 4 years of HR related experience * PLUS 2 years of experience with processing the full Provider Enrollment cycle. * Strong knowledge working with report writing databases as well as common office technology/software including the use of the Microsoft Office Suite. * Ability to maintain confidentiality * Excellent communication skills with all levels of staff * Efficient time management * High attention to detail * Understanding of the agency's programs and services * Experience working with and full understanding of insurance carriers' processes. * Familiarity with NCQA standards and how to apply them. * Proficient with basic computer systems, networks, and software applications, such as the Microsoft Office Suite (Outlook, Word, and Excel). Benefits include: * Generous paid time * Multiple health insurance options * Employee referral bonus * Tuition Reimbursement * Clinical license renewal reimbursement

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