Network Performance Analyst
About The Position
This role reports to the Vice President of Network Management and supports the organization through advanced analytics, performance monitoring, and data - driven insights related to provider performance, network adequacy, utilization, and cost trends. The Network Performance & Analytics Analyst evaluates and optimizes provider network performance by developing reporting, conducting data analysis, and creating models that inform network strategy, access monitoring, and operational decision - making. This position also establishes and strengthens the teams foundational analytics infrastructure, enabling data-driven network management and supporting strategic initiatives across the Network Management organization.
Requirements
- Bachelors degree in data Analytics, Health Informatics, Health Administration, Economics, Statistics, or related field.
- 35 years of experience in healthcare analytics, provider network analytics, or managed care.
- Understanding of provider network performance metrics and utilization patterns.
- Experience working with claims data, provider directory data, and network adequacy data.
- SQL querying and data analysis.
- Advanced Excel and data modeling.
Nice To Haves
- Experience with Quest Analytics for network adequacy analysis.
- Experience with Snowflake or similar cloud data warehouse platforms.
- Dashboard development using Sigma or similar analytics tools
Responsibilities
- Network Performance Analytics Analyze claims, provider, and member data to evaluate network performance and utilization trends.
- Monitor key performance indicators including cost per member, utilization patterns, treatment intensity, and productivity.
- Identify provider outliers, cost variation, and emerging utilization trends.
- Conduct analyses such as network leakage, provider benchmarking, and utilization pattern reviews.
- Reporting & Dashboard Development Develop recurring and ad hoc reporting to support Network Management leadership.
- Build dashboards to monitor provider performance, network utilization, and cost trends.
- Translate analytical findings into clear insights and recommendations for leadership.
- Network Adequacy & Access Analysis Conduct geographic access and network adequacy analysis.
- Evaluate provider distribution and identify network gaps.
- Support provider recruitment and network strengthening strategies.
- Data Infrastructure & Analytics Development Support development of foundational datasets and reporting structures for network analytics.
- Develop queries and analytics to support reporting and performance monitoring.
- Ensure data accuracy and consistency across provider, claims, and network datasets.
- Decision Support & Leadership Engagement Provide analytic insights and reporting to support Network Management leadership in evaluating provider network performance and strategic initiatives.
- Translate complex data into clear insights that inform provider engagement, network development, and operational decision-making.
- Present findings and recommendations to cross-functional partners including network management, operations, product, and Sales.
Benefits
- medical, dental, and vision plans
- generous time off including PTO, short and long-term disability insurance and a competitive 401(k) savings match including financial planning workshops
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
101-250 employees
