Senior Provider Network Analyst

Job Summary

Supporting provider network operations, the full-time Senior Provider Network Analyst will analyze provider data, ensure compliance with contracts, and assist in new business implementations while working remotely on Eastern Standard Time (EST).

Key responsibilities

• Analyze provider data to identify trends, discrepancies, and opportunities for process improvement
• Ensure compliance with provider contracts, state requirements, and internal policies while maintaining accurate provider data
• Create and enhance reports to support business decision-making and assist in system configuration activities

Required qualifications

• Bachelor's degree in business, healthcare, or a related field, or equivalent experience
• 1 to 3 years of healthcare or managed care experience
• 3 to 5 years of analytical experience in a healthcare environment
• Experience with provider data, claims processing, or network operations preferred
• Proficiency in Microsoft Office Suite, especially advanced Excel skills, and familiarity with SQL or data/query tools preferred