Network Adequacy Analyst Jobs (NOW HIRING)

Anticipated End Date:

Position Title:

Job Description:

Provider Data Analyst Sr.

Location: This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unlessaccommodationis granted as required by law.

The Provider Data Analyst Sr. supports more complex provider network analysis related functions and acts as a subject matter expert for network related deliverables. Serves as an internal resource and senior member of the team. Mentors Provider Data Analysts. Analyzes, researches, coordinates and reports on complex provider file data to support both internal and/or external request. Responsible for analyzing the networks as required by the California Department of Managed Health Care networks. Analyzes network adequacy for changes in the networks. This position will research and address data discrepancies in the provider source system.

How you will make an impact:

• Provides guidance in the provision of provider data reports and analyses in support of internal client needs.

• May represent the department in meetings.

• Performs provider data analysis and reporting in response to external request from providers and/or regulatory agencies in which the analysis of data requires an evaluation of intangible variables.

• Serves as a subject matter expert and liaison between the provider database organization, and other functional areas to support data requests and ensure uniform and consistent data and data flow.

• Acts as a liaison and ensures report meets the client's needs and helps to clarify additional required information or data needs.

• Reviews the work of Provider Data Analysts.

• Performs provider data support, data/file analysis, network analysis, surveys, reporting (including creating and publishing), and other ad hoc data requests to support the assigned department.

• Uses GeoNetworks and other software tools.

• Responsible for enhancements and testing.

Minimum Requirements:

Requires a BA/BS degree in a related field and a minimum of 5 years data file/reporting experience; experience using analytics and/or relational databases; experience using software such as GeoNetworks; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience and knowledge in CA HMO networks, healthcare or managed care is highly preferred.

• Experience and knowledge of Network Adequacy regulations or regulatory compliance strongly preferred.

• Experience and knowledge of data analytics, project management, project execution, process improvement (strategic and execution) strongly preferred.

• Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.

• Proven ability in collaborating with cross-functional teams and coordinate efforts towards common goals strongly preferred.

• Excellent written, oral, presentation and interpersonal communication skills, strong executive presence with the proven ability to negotiate expectations between multiple parties highly preferred.

• Experience and knowledge of SAS and/or Tableau is strongly preferred.

• Proficient of Microsoft Office products, most notably in Excel (data analytics and data management), Teams, Outlook, PowerPoint and Word strongly preferred.

Job Level:

Workshift:

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Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.