Provider Network Analyst

About the Role

Aflac, a Fortune 500 company and industry leader in voluntary insurance products, is seeking a professional to join our Dental & Vision division. We are looking for someone who acts with integrity, communicates effectively, pursues self-development, serves customers, supports change, and works well with diverse populations. If you are ready to grow your career with a company recognized as one of Fortune's 50 Best Workplaces for Diversity and one of World's Most Ethical Companies, we want to hear from you.

Work Designation

Depending on your location within the continental US, this role may be hybrid or remote. If you live within 25 miles of the Aflac offices in Tampa, FL, this role will be hybrid, requiring you to work in the office for at least 60% of the work week. If you live more than 25 miles from the Tampa offices, this role will be remote, with occasional requests to come to the office based on business need (communicated in advance).

Responsibilities

• Create and maintain all provider directories as needed, particularly client related submission.
• Ensure Network Adequacy and Disruption Reports are generated in a timely manner.
• Run monthly client network adequacy reports and deliver results to Network Manager to determine if any network gaps exist.
• Act as Team Lead for Sales department in Network Adequacy and Disruption Analysis.
• Train sales account manager on analytics software, act as support, and if needed run reports in the absence of sales account manager.
• Develop monthly client Score Cards and deliver to internal department on a timely basis.
• Adhere to data entry parameters and ensure deadlines for completion of required reports are met on a monthly basis; collaborate with other department staff to ensure adherence to deadlines and accuracy standards.
• Serve as a special project leader, such as data maintenance configurations and updates based on request or Provider Relation Department needs, or as other needs arise.
• Perform other duties as necessary.

Required Qualifications

• Bachelor's Degree in Business Administration or related field.
• Two years of related or other professional level work (or an equivalent combination of education and experience).
• Analytical Skills: Ability to work with large amounts of data arriving from multiple sources.
• Communication Skills: Ability to communicate with other departments and explain requirements for accurate data entry.
• Critical Thinking: Ability to look at the data, observe/report patterns and trends in errors, input etc. so that workflow performance improves.
• Problem Solving: Present problems with alternatives for resolution or plan to determine the resolution.

Preferred Qualifications

• Experience in healthcare industry.
• Experience with various contract management systems.

Pay & Benefits

Salary Range: $50,000-$65,000

Benefits include:

• Medical, dental, and vision coverage
• Prescription drug coverage
• Health care flexible spending and dependent care flexible spending
• Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no cost to employee)
• 401(k) plans
• Annual bonuses
• Opportunity to purchase company stock
• 11 paid holidays annually
• Up to 20 days PTO to be used for any reason
• State-mandated sick leave (if eligible) and other leaves of absence

Schedule & Travel

• Travel: ≤ 10%