Provider File Analyst

3 weeks ago


Dartmouth, Canada Medavie Blue Cross Full time

For over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top 100 Employers, Canada’s Life & Health Insurer of the Year for 2021 and an Imagine Canada Caring Company.

Our 2,400 professionals work across six provinces, united by our shared values of being caring, accountable, responsible, innovative and community-minded. We’re committed to ensuring our employees thrive in our award-winning, collaborative culture focused on ensuring health, wellness, and personal and professional growth through a variety of programs and support across our organization.

Together with Medavie Health Services, we are part of Medavie — a national health solutions partner with over 7,700 employees. Our mission is to improve the wellbeing of Canadians.

**Job Title**:

- Provider File Analyst**Department**:

- Information Services - Operations**Competition**:

- 86165**Internal/External**:

- Internal**Employment Type**:

- Full Time Permanent**Location**:

- NB, NS, QC, PEI, Canada Remote**Salary**:

- Comprehensive Compensation**Reports To**:

- Team Leader Reporting to the Team Leader,
** the Provider File Analyst** is responsible for maintaining a database of providers and ensuring approved providers meet established criteria. In addition, this position will be required to deal directly with providers and their associations and/or colleges, by handling telephone inquiries, troubleshooting issues internally and externally, preparing provider related correspondence, managing reports, and preparing documentation as required.

**Key Responsabilities**:

- Responding to telephone inquiries about provider related issues and concerns, including follow up action as required.
- Managing exceptions to established criteria. Maintaining provider files and learning the nuances between the private and government book of business.
- Organizing, maintaining, and ensuring all provider association files are current.
- Maintaining and updating provider file documentation.
- Managing various reports including information compilation and preparing appropriate correspondence.
- Preparing correspondence to providers about their provider status and the distribution of appropriate provider kits, as applicable.

**We are an Equal Opportunity Employer.**

Medavie Blue Cross strives to foster a culture where everyone is enabled to achieve their full potential - a culture of diversity, equity and inclusion (DEI) where we live our values every day in the way we treat each other, our members and the communities we serve. Accessibility is a top priority.

For applicants with disabilities, we provide accommodations throughout the recruitment, selection and/or assessment process. If selected to participate in the recruitment, selection and/or assessment process, please inform Medavie Blue Cross Human Resources staff of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation. All personal information is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act.

**Job Segment**:Claims, Database, Equity, Finance, Insurance, Technology


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