Provider Network Analyst

About the role

This position supports provider network operations, focusing on directory maintenance, network adequacy reporting, and data analysis to ensure compliance and workflow improvement.

Principal Duties & 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 require 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.

Qualifications

Required: Bachelor's degree in Business Administration or related field, plus two years of related or other professional level work. An equivalent combination of education and experience may be considered.

Preferred: Experience in healthcare industry; experience with various contract management systems.

Skills

• Analytical Skills: The ability to work with large amounts of data arriving from multiple sources.
• Communication Skills: The ability to communicate with other departments and explain requirements for accurate data entry.
• Critical Thinking: The 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.

Pay

Salary range: $50,000–$65,000

Schedule

Hybrid for candidates within 25 miles of Tampa, FL (60% in-office); remote for those outside that radius (with occasional in-office requests as business needs arise). Travel ≤ 10%.

Benefits

• 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 for any reason
• State-mandated sick leave where applicable (Washington employees accrue 1 hour per 40 hours worked)
• Other leaves of absence as eligible (including sick and safe leave, adoption and parental leave)