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Provider Network Adequacy Analyst Jobs (NOW HIRING)

Senior Provider Network Analyst

New York, NY · Remote

$96K - $127K/yr

Conduct access and network adequacy analysis to evaluate coverage, gaps, and utilization across CoE ... We will never ask you to provide banking information, payment, or other financial details as part ...

The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.

Provider Network Manager

Memphis, TN · On-site +1

$70K - $80K/yr

The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.

Provider Network Manager

Nashville, TN · On-site +1

$70K - $80K/yr

The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.

Provider Network Manager

Louisville, KY · On-site +1

$70K - $80K/yr

The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.

Provider Network Manager

Lexington, KY · On-site +1

$70K - $80K/yr

The position also monitors market changes and network performance to ensure adequate provider coverage and compliance with CMS network adequacy standards and all applicable regulatory requirements.

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Provider Network Adequacy Analyst information

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How much do provider network adequacy analyst jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for provider network adequacy analyst in the United States is $40.43, according to ZipRecruiter salary data. Most workers in this role earn between $31.73 and $48.08 per hour, depending on experience, location, and employer.

What is a provider network adequacy analyst?

A Provider Network Adequacy Analyst is a professional who evaluates whether a healthcare provider network meets specific access and coverage standards set by regulatory authorities and insurance companies. They analyze data to ensure that patients have sufficient access to healthcare providers, such as doctors and specialists, within reasonable distances and wait times. Their work helps organizations comply with state and federal regulations and ensures that members receive timely and appropriate care.

What are the key skills and qualifications needed to thrive as a provider network adequacy analyst?

To thrive as a Provider Network Adequacy Analyst, you need a strong background in data analysis, healthcare regulations, and provider network management, usually supported by a degree in healthcare administration, public health, or a related field. Familiarity with analytics tools like Excel, SQL, and network adequacy assessment software is typically required, along with knowledge of federal and state compliance standards. Attention to detail, problem-solving, and effective communication are crucial soft skills for interpreting complex data and collaborating with cross-functional teams. These skills ensure the provider network meets regulatory requirements and delivers accessible, high-quality care to members.

What are some typical challenges a provider network adequacy analyst faces in ensuring network compliance?

Provider Network Adequacy Analysts often encounter challenges such as incomplete provider data, rapidly changing regulatory requirements, and difficulties in collecting accurate access information from network providers. Navigating these challenges requires strong analytical skills, attention to detail, and effective communication with both internal teams and external providers. Staying current with state and federal regulations is crucial, as compliance standards can vary significantly between regions and are frequently updated.

What are popular job titles related to Provider Network Adequacy Analyst jobs?

For Provider Network Adequacy Analyst jobs, the most frequently searched job titles are:

Infographic showing various Provider Network Adequacy Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $84,100 per year, or $40.4 per hour.

Senior Provider Network Analyst

New York, NY • Remote

Covera Health
Health Care and Social Assistance • 11 - 50 employees

$96K - $127K/yr

Full-time

Dental, Vision, Retirement, PTO

Posted 29 days ago


Job description

About the company

At Covera Health, we're on a mission to improve healthcare by making every diagnosis more accurate.

Every year, millions of patients receive imaging that shapes life changing medical decisions. Yet too often, important findings are missed, patients struggle to access high quality imaging, and the healthcare system treats radiology like a commodity instead of one of the most critical moments in a patient's care journey.

We're changing that.

Covera combines clinical expertise, advanced AI, and one of the industry's largest radiology quality datasets to help detect disease earlier, improve diagnostic accuracy, and give clinicians greater confidence in every decision they make. Better diagnoses lead to better treatment, fewer unnecessary procedures, lower healthcare costs, and, most importantly, better outcomes for patients.

In 2026, Covera and Medmo came together to create the first platform designed to support the entire radiology journey. From helping patients find and schedule high quality imaging, to coordinating care, to ensuring the accuracy of every diagnosis, we're building a connected experience that simply hasn't existed before.

Backed by Insight Partners, our platform supports nearly 6 million people across Fortune 10 and Fortune 100 employers, three of the five largest national health plans, and thousands of value based primary care physicians.

This is an exciting moment to join Covera. We're building technology that is helping detect serious conditions earlier, improving the quality of care for millions of patients, and redefining what healthcare can be. If you're excited by meaningful work, ambitious teammates, and the opportunity to help save lives through better healthcare, we'd love to meet you.

About the role

Covera Health delivers mission-critical Center of Excellence (CoE) programs to a growing portfolio of Fortune 100 jumbo employers and health plans, and the health of that network is central to the value we deliver. We're looking for a Senior Provider Network Analyst to own the visibility layer for our CoE network - setting the standard for how we measure network performance and quality, surfacing risks early, and turning complex data into clear reporting that our clients and internal leaders trust and act on.

About the role

Covera Health delivers mission-critical Center of Excellence (CoE) programs to a growing portfolio of Fortune 100 jumbo employers and health plans, and the health of that network is central to the value we deliver. We're looking for a Network Analyst to own the visibility layer for our CoE network - tracking performance and quality, surfacing risks early, and turning complex data into clear reporting that our clients and internal leaders can act on.

Sitting at the intersection of our data, clinical, and account teams, you'll be the person who ensures everyone knows how the network is performing and where it needs attention. This is a high-impact, detail-driven role for someone who takes pride in accurate data, clean reporting, and insights that drive decisions.

In this role, you will be expected to:
  • Monitor and maintain the health of the Center of Excellence (CoE) network, tracking key performance and quality metrics on an ongoing basis.
  • Design and produce recurring and ad hoc reports and dashboards on network status for jumbo employer clients and internal stakeholders, including the executive and leadership teams, using Databricks,  Python and SQL.
  • Conduct access and network adequacy analysis to evaluate coverage, gaps, and utilization across CoE partners.
  • Own the reporting process end to end - data collection, validation, visualization, and distribution - delivering reliably against recurring timelines.
  • Partner cross-functionally with account management, clinical, and data teams to ensure reporting accuracy and relevance.
  • Identify trends, risks, and performance issues in the network and proactively flag them to the right stakeholders.
  • Support client-facing meetings and business reviews with clear, digestible visual summaries of network performance.
  • Build and maintain documentation and standard operating procedures for recurring reporting cycles.
Special Considerations:

We are a remote-first company with employees located across the U.S., and this role is fully remote - we welcome candidates from anywhere in the country. We also have a NYC office located at Penn 1 for those who enjoy coming in for collaboration and connection (and lunch!).

Requirements:
  • 5+ years of experience in data analysis, reporting, or network/operations analytics, with demonstrated expertise in network adequacy or coverage analysis, ideally within healthcare, health plans, or employer benefits.
  • Strong data visualization skills, with hands-on experience in Power BI, Databricks BI, or a similar tool like Tableau.
  • Proficiency in SQL for querying and validating data, plus experience with Databricks and advanced google sheets.
  • Demonstrated ability to own end-to-end reporting workflows and set the standards and methodology others follow.
  • Excellent written and verbal communication, with the ability to translate technical detail for executive audiences.
  • A detail-oriented, quality-assurance mindset with a strong commitment to data accuracy.
  • Comfort building executive-ready summaries and presentations in PowerPoint.
  • Experience serving as a subject matter expert or informally mentoring more junior analysts preferred.
AI at Covera

At Covera Health, AI is not a novelty. It's a core part of how we work. Every team member is expected to actively use AI in their day-to-day role, and we invest in building that fluency across the organization. If you lean into new tools and are energized by what's still possible, you'll fit in.

Benefits
  • Comprehensive medical plans - choose from three plans, including one with 100% of premiums covered for you and your dependents
  • Vision & Dental
  • Hybrid Time Off Policy (Flexible Time Off (FTO) Policy for exempt employees and Paid Time Off (PTO) Policy for non-exempt employees)
  • Sick days in accordance with your state law
  • 12 weeks of paid parental leave
  • 12 Fixed Holidays (company closed)
  • 401(k) Retirement Plan
  • Annual Professional Development Stipend to invest in courses, books, or any other professional development related activity
  • Annual Wellness stipend for fitness, mental health or other wellness expenses

The minimum and maximum base salary for this position ranges from $105,000 - $140,000, in addition to a discretionary bonus and comprehensive benefits package. Final compensation will be based on a number of factors including but not limited to, a candidate's qualifications, skills, competencies, experience, expertise and location.

Please note

We may use automated tools and/or AI to assist in reviewing applications.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. Equal Opportunity is the Law, and Covera Health is proud to be an equal-opportunity workplace and affirmative action employer. If you have a specific need that requires accommodation, please let a member of the People Team know.

Unfortunately, job seekers are sometimes targeted by scammers pretending to represent legitimate companies, including Covera Health. Our recruiting team will only communicate with you using an @coverahealth.com email address. We will never ask you to provide banking information, payment, or other financial details as part of the interview or hiring process. If you're ever unsure whether a recruiting communication is legitimate, please contact our Talent Acquisition team at careers@coverahealth.com for verification.