Department: Geisinger Health Plan - Ops & Configuration
Work Type Full Time
Provides dedicated support to the development, and maintenance of data systems and web-based applications critical to the functions of Provider Network Management (PNM). Performs data entry, verification, organization, tracking, document preparation, and retrieval of information to support management and executive level decision making and business operations within PNM. Develops and maintains routine and standard ad hoc reports using a variety of Health Plan data sources. Participates in data integrity auditing processes as well as system upgrade testing and implementation.
Works under the direct supervision of the Team Lead, Provider Data Management.
Competencies and Skills:
Highly organized with attention to detail and a demonstrated high regard for data accuracy.
Ability to read, extract and interpret information and compare to established departmental policies and procedures.
Self-motivated with the ability to complete projects independently within established timeframes.
Proficiency in Health Plan data applications and reporting tools including but not limited to Vistar, Quest Analytics, MS Excel, MS Word, MS Access.
Willingness to learn and utilize other computer software applications or programs in order to support the business operations of PNM.
Possesses effective interpersonal and communication skills and ability to work cooperatively with all levels of management and staff.
Maintains confidentiality of activities related to credentialing, peer review, quality assurance and legal issues.
The specific statements shown above are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Education and or Experience:
Associate’s Degree in Health Care Administration, Business or related area required.
Minimum three years data/office or related work experience required.
Working Conditions/Physical Demands:
Work is typically performed in an office environment. Must maintain a professional appearance in accordance with established departmental appearance standards.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
GEISINGER HEALTH PLAN (GHP) is the health insurance component of Geisinger and serves over 460,000 members in Pennsylvania and West Virginia. Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
Internal Number: 56451
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.