Provider Administrator Analyst
HS1Miami, Florida, United States
Posted December 5, 2025
23.00 - 25.00 USD
Full Time
About the Company
Health Network One (HS1) designs and manages single‑specialty provider networks that partner with managed care organizations to deliver cost‑effective, high‑value care. Leveraging more than 500 million patient‑month data, HS1 implements alternative payment models and proprietary utilization‑management tools that limit over‑utilization and keep denial rates below 1%. The company’s HITRUST‑certified, NCQA‑accredited framework, coupled with a concierge‑style administrative support, yields a 95 % provider retention rate and empowers clinicians to focus on patient care. HS1’s fearless innovation and deep customization drive efficiencies and savings for both payers and providers, positioning it as a trusted leader in network management.
Job Description
The Provider Administrator Analyst reviews and analyzes executed provider contracts, identifies issues, and offers solutions. They also maintain a broad knowledge of CMS, Medicaid, and state regulations, and ensure data integrity.
Requirements
- Reviews and analyzes executed provider contracts
- Identifies non-programmable contracts and returns to management
- Enters acceptable provider contracts into the Provider File Maintenance module
- Coordinates provider contracts with the Provider Credentialing Department
- Maintains a broad knowledge of CMS, Medicaid, and state regulations
Benefits
- Flexible work arrangements
- Opportunities for professional growth and development
