Senior Network Operations Analyst @ Gravie

Gravie
$67,575 - $90,100

About The Position

Gravie is seeking a Network Operations Analyst to help build the day-to-day engine behind its provider networks. This role involves partnering closely with the Provider Network team to establish processes, workflows, and reporting for smooth network operations. The analyst will manage the daily operational cadence, track network health, identify and resolve issues, and contribute to shaping operational strategies as the company expands into new markets. This is a hands-on role focused on building and refining operational processes in a fast-growing environment.

Requirements

  • Bachelor's degree, or equivalent experience, and 2+ years of experience in network operations, health plan operations, or provider network management
  • 2+ years of experience building or improving operational processes in a healthcare or health plan setting
  • 2+ years of experience managing the ongoing performance of a provider network or similar operational function
  • 2+ years of experience working with provider, claims, or network data to build reporting or track performance

Nice To Haves

  • Experience standing up network operations for a new market or new provider network
  • Familiarity with network adequacy requirements or CMS/state reporting standards
  • Experience with SQL, Excel, or BI tools (e.g., Tableau, Looker, Power BI)
  • Background at a small or fast-growing health plan where you had to build as you went
  • Project or program management experience

Responsibilities

  • Manage the day-to-day operations of Gravie's existing provider networks, staying on top of open issues, renewals, and anything that needs attention
  • Document network operations processes and keep them current as workflows evolve
  • Administer the provider network inquiry intake system day to day — apply triage rules and prioritization criteria, monitor SLAs and queue aging, and report on volume and resolution trends across all channels
  • Build and maintain network scorecards that give the team a simple, reliable view of how the network is performing
  • Dig into deviations or inconsistencies in provider reporting, run them down to root cause, and recommend process fixes to Network leadership
  • Turn network data into practical insights that the Network leadership team can use to make decisions
  • Partner with Contracting, Customer Service, Claims and our Networks to close gaps in how provider data flows between teams and systems
  • Identify where manual, ad hoc work can be replaced with a repeatable process, checklist, or lightweight tool
  • Act as a key operational partner to Provider Network leadership, flagging risks and recommending fixes before they become bigger issues

Benefits

  • alternative medicine coverage
  • flexible PTO
  • up to 16 weeks paid parental leave
  • paid holidays
  • a 401k program
  • transportation perks
  • education reimbursement
  • 2 days of paid paw-ternity leave
  • standard health and wellness benefits
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