Responsible for managing demographic and payee data for a national network of ophthalmology and optometric practitioners. This includes performing additions, changes, and terminations in provider databases to ensure accuracy in directories and claims processing.
Versant Health
12 Remote Job Openings at Versant Health
The Data Reporting Analyst is responsible for generating complex financial and operational reports using SQL, Power BI, and Business Objects to ensure contractual compliance. The role acts as a liaison between technical teams and client managers to translate business requirements into actionable data insights.
The Business Systems Analyst acts as the primary liaison between business users and IT teams to elicit and document functional requirements. They are responsible for managing project scope, creating design documentation, and ensuring the delivery of expected business value.
The representative handles incoming member and provider inquiries regarding vision care benefits and membership requests. They act as a liaison between internal business partners and external clients to ensure an exceptional customer experience.
Architect and deploy enterprise-grade advanced analytics and machine learning solutions within the Microsoft cloud ecosystem to influence strategic healthcare decisions. Lead the end-to-end analytical lifecycle, ensuring model explainability, stability, and regulatory compliance in a healthcare environment.
The Configuration Analyst is responsible for the setup and maintenance of vision benefit programs within the Health Solutions Plus platform and integrated systems. This includes configuring claim processing mapping, analyzing business rules for adjudication, and supporting new client implementations.
Oversees the tactical execution of benefit configuration across core claims platforms and leads a team of Configuration Analysts. Acts as a liaison between business and technical teams to ensure accurate implementation of plan designs and payment methodologies.
Provides strategic leadership for benefit configuration and claims platform operations, overseeing the multi-year roadmap and governance standards. Collaborates with cross-functional leadership to align configuration capabilities with organizational strategy and ensure operational excellence.
Provider Relations Representative_ Temporary Position
Versant Health
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Part Time
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20 days ago
Versant Health
Serve as the primary point of contact for the provider network to resolve claims issues and update demographic information. Assist with network recruitment activities and monitor provider complaints and grievances.
Network Development Specialist_ Temporary Position
Versant Health
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Part Time
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a month ago
Versant Health
Recruit and contract new vision providers and facilities into the Superior Vision and Davis Vision networks. Manage the credentialing process, negotiate fee schedules, and maintain relationships with the provider community.
Responsible for posting payments, auditing accounts, and resolving billing and statement issues for clients. The role also involves supporting month-end close processes, preparing journal entries, and maintaining SOX/SOC control activities.
The Supervisor of Provider Data Management oversees the PDM team to ensure accurate and timely provider data updates across organizational environments. This role manages daily operations, monitors performance metrics, and acts as a subject matter expert to drive process improvements and data integrity.