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AmeriHealth Caritas · 5 days ago

Network Report Analyst Sr

United States

Full-time

Remote

Senior Level

5+ years exp

AmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive healthcare solutions. The Senior Network Report Analyst is responsible for extracting and evaluating provider data to generate reports and create automated reporting solutions for various lines of business.

Health CareInformation Technology

H1B Sponsor Likely

Responsibilities

Reporting to the Director of CPNO Initiatives, the Sr. Network Report Analyst is responsible for extracting, manipulating, and evaluating accuracy of provider data from various sources to generate reports and to create automated reporting solutions for new and existing lines of business for all products and programs

Understand multiple backend provider data sources (e.g. Facets, Cactus, Contract Manager, NPPES, Enclarity, corporate vendor-obtained sources, and other External Regulatory data files) for the purposes of writing queries, developing reports as well as designing, developing, implementing and maintaining business solutions

Understands existing and new business for delivering work products for RFIs, RFPs, new markets and contracts to address all network management stages and reporting requirements to demonstrate network adequacy, network gaps and solution analysis using geo-spatial tools such as GeoNetwork, Maptitude and other available resources

Provide business and network analysis, summary, reports and dashboards of issues, trends, recommendations and obstacles

Creates advanced reporting preparations, designs and layouts

Interprets provider data using various techniques, from data aggregation to complex data mining

Analyzes provider data files received from joint venture partners to evaluate issues and usefulness

Coordinates with technical resources from joint venture partners and other internal resources to address and resolve data questions and anomalies

Creates technical specifications for routine, recurring, and ad-hoc reports

Assures the accuracy and validity of data and reports through a validation process to cross-reference output and source data; identifies provider data gaps/anomalies and provides recommended solutions to the business owner

Mentors junior analysts

Creates automated reporting solutions for teammates, or end-user customers across the organization

Work collaboratively with internal customers to articulate and share results, resolutions, expectations and deliverables

Qualification

SQL programmingData analysisReport writingHealthcare experienceDatabase managementData miningMicrosoft Office SuiteBusiness process improvementMentoring

Required

Bachelor's Degree required

Medicaid/Medicare or Healthcare required

Managed Care operations experience with Report Writing, Data Analysis, Data Research

5+ years' experience in SQL programming, Sybase, Oracle database management systems and Structured Query Language required

5+ years of data analysis and data mining, including advanced, report preparation, layout and design

Experience with databases, report preparation, layout and design

Experience developing front-end reporting solutions, for front-end users/customers to pull reports themselves

Business process and quality improvement understanding

Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Access). Prior Microsoft Access experience is a requirement

Ability to plan, organize and handle multiple tasks in minimal timeframes and with limited supervision required

Preferred

1 to 3 years Provider Data knowledge preferred

Benefits

Flexible work solutions including remote options

Hybrid work schedules

Competitive pay

Paid time off including holidays and volunteer events

Health insurance coverage for you and your dependents on Day 1

401(k)

Tuition reimbursement

Company

AmeriHealth Caritas

Glassdoor3.4

AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.

Founded in 1982

Philadelphia, Pennsylvania, USA

10001+ employees

http://www.amerihealthcaritas.com

H1B Sponsorship

AmeriHealth Caritas has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (18)

2024 (17)

2023 (12)

2022 (14)

2021 (4)

2020 (11)