Senior Network Adequacy Analyst

Senior Network Adequacy AnalystLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.Preferred Location : Grand Prairie, TX.The Senior Network Adequacy Analyst is responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts .How you will make an impact:

Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures.

Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

Creates and publishes periodic reports, as well as any necessary ad hoc reports.

May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

May make recommendations based upon data analysis.

Provides analytic consultation to other business areas, leadership or external customers .

Data analysis and reporting encompasses a much higher level of complexity.

Create and maintain databases to track adequacy and network performance.

Analyze data using summary statistical procedures.

Work closely with provider data, understanding the concept of measuring adequacy.

Build custom templates in Quest Analytics Suite, identify prospects, and help fill gaps.

Familiar with N/A and ECP templates.

Lead strategy analytics for their respective market.

Experience with QHP and SBE reporting and CMS/State filings is strongly recommended.

Demonstrate critical thinking and thoughtfulness.

Work well under pressure and embrace creative solutioning.

Create periodic and ad hoc reports

Address business issues by developing diagnostic and tracking data.

Make recommendations based on data analysis.

Minimum Requirements:Requires a BS/BA degree in related field and a minimum of 5 years experience; or any combination of education and experience which would provide an equivalent background.Preferred Skills, Capabilities, and Experiences:

Experience with relational databases and knowledge of query tools and statistical software is strongly preferred.

Ability to manipulate large sets of data strongly preferred.

Strong analytical, organizational, presentation, and problem solving skills strongly preferred.