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Harbor Health · 3 months ago

Network Analyst - Data

Texas, United States

Full-time

Onsite

Mid Level

3+ years exp

Harbor Health is transforming healthcare in Texas through collaboration and innovation. They are seeking a data-driven Network Analyst to optimize provider network performance and ensure member access to quality care through comprehensive network analytics.

Health CareMedicalmHealthPersonal HealthWellness

Responsibilities

Analyze provider network adequacy, accessibility, and geographic coverage to ensure members have appropriate access to care across all service areas

Develop and maintain dashboards tracking key network metrics including utilization patterns, member attribution, provider capacity, and appointment availability

Conduct time and distance analyses to validate network compliance with regulatory standards and member access requirements

Generate regular reports on network performance indicators, identifying trends and opportunities for optimization

Maintain accuracy and integrity of provider data across multiple systems, ensuring seamless integration between clinical and claims platforms

Analyze provider performance metrics including quality scores, member satisfaction, cost efficiency, and clinical outcomes

Support provider contracting decisions with data-driven insights on reimbursement rates, utilization patterns, and market benchmarks

Create predictive models to forecast network needs based on member demographics and health risk profiles

Identify gaps in specialty coverage and recommend targeted recruitment strategies to enhance network comprehensiveness

Analyze referral patterns and care pathways to optimize network configuration and reduce out-of-network utilization

Evaluate potential network partners using comprehensive scoring methodologies incorporating quality, cost, and member experience metrics

Support value-based care initiatives by analyzing provider performance against quality and efficiency targets

Partner with Clinical Operations to ensure network design supports care coordination and member health outcomes

Work closely with Product & Engineering teams to best leverage automation & tools that are custom-built for Harbor

Collaborate with Member Experience teams to address access concerns and optimize provider-member matching

Work with Finance to model network costs and project impact of network changes on medical expense

Support Compliance in maintaining network adequacy filings and regulatory reporting requirements

Qualification

SQLData visualization toolsHealthcare analyticsPythonHealthcare reimbursement modelsClaims data analysisAnalytical skillsProblem-solving skillsProject managementCommunication skillsCollaboration