Senior Network Adequacy Analyst

6 days ago


Austin, United States Elevance Health Full time

Senior Network Adequacy Analyst

Location: 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.



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