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Vaya Health · 1 month ago

Provider Network Analyst (Remote)

United States

Full-time

Remote

Senior Level

$54K/yr - $70K/yr

5+ years exp

Vaya Health is a healthcare organization that focuses on improving community health through innovative solutions. The Provider Network Analyst is responsible for providing technical support to Healthcare Analytics and the Provider Network Operations department by producing and analyzing reports needed for network analytics and performance monitoring.

CommunitiesHealth CareHospital

Responsibilities

Responsible for the oversight and development of the annual Network Adequacy and Accessibility Analysis (Gaps Analysis)

Responsible for Provider Network Operations oversight of network accessibility data as part of Tailored Plan requirements and the Network Access Plan

Responsible for collecting, analyzing, and reporting provider network accessibility data as part of Tailored Plan requirements

Support the ongoing monitoring of the Network Access Plan and implementing strategies to address gaps in the provider network

Collect, analyze, and present detailed and statistical data and reports on provider network services for internal and external reporting

Provide project management support for network development projects

Direct the improvement of data analysis/presentation to support the use and understanding on statistical data

Create and maintain dashboard reports to identify trends, outliers, and areas for improvement in the provider network

Support the closed network provider enrollment process through the development of forms, policies, and business processes to maintain effective and timely business processes

Support the migration of data through provider enrollment, credentialing, and contracting

Interpret and evaluate data quality

Develop programs, methodologies, and approaches for analyzing and presenting data to the Provider Network Operations department

Maintain ongoing complex data analysis in support of ad hoc and scheduled reporting for internal and external stakeholders

Generate routine network capacity reports

Conduct surveys of providers and community stakeholders to determine the adequacy of services within the provider network

Support quality improvement projects within Provider Network Operations and across the organization

Provide support to internal and external Committees around provider specific data

Ensure that the provider network meets the requirements set forth by the NC Medicaid vendor contract, delegation agreements, and national accreditation standards

Will back up the Value Based Analytics Managers with all roles and responsibilities

Other duties as assigned

Qualification

Data analysisSQLExcelQuest AnalyticsReport generationInterpersonal communicationProject management

Required

An Associate Degree in Human Services, Business Administration, or related fields of study and 8+ years of experience in reporting and data analytics

A Bachelor's Degree in Human Services, Business Administration, or related fields of study and 5 years relevant experience in reporting and data analytics

Knowledge of office and business practices in the completion of daily responsibilities

Maintain knowledge of changes in policy, methods, computer operations, equipment needs, etc., as they pertain to departmental operations and activities

Able to communicate effectively and have daily interpersonal contact with the public, providers, supervisors, and other employees

Ability to assemble information in a concise, clear, and effective manner

Able to use independent judgment as situations warrant

Ability to comprehend, interpret and apply regulations, procedures, and related information

Adept at producing and interpreting management reports for internal and external audits and senior management

Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading

Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers

Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time

Mental concentration is required in all aspects of work

The person in this position must live in NC, SC, GA, TN, VA, MD, or FL