Network Performance Analyst in Remote at Beacon Health Options

Date Posted: 6/11/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Network Performance Analyst to join our team.  Please note this position will be remote. The Network Performance Analyst will be responsible for production and maintenance of network reports, including conducting analysis, making recommendations, and supporting strategic planning based on network needs.  The Network Performance Analyst will conduct analysis on provider rates, network adequacy, and claims/utilization data as it relates to provider network unit cost and performance for alternative payment models across the region. The Network Performance Business Analyst will also be responsible for designing and executing analytical research to make recommendations to the Vice President of Provider Strategy and will develop necessary dashboards for tracking and trending outcomes and results. The Network Performance Business Analyst is expected to have a broad background in understanding and presenting healthcare as well as experience with Microsoft database technologies.

Position Responsibilities:

  • Performs analysis of reimbursement structures/data, based on information from internal and external sources. Including unique fee schedules through various payment methodologies.

  • Creates usable data reports for analysis using system reporting tools.

  • Recommends and prices alternate plan network design options as necessary for existing and prospective groups.

  • Analyzes complex network issues using data from internal and external sources to provide insight to management that guides decision making process.

  • Performs thorough evaluation of rate proposals and utilization trends with ability to make clear and thoughtful recommendations.

  • Demonstrates strong skill set in extracting data from multiple sources, analyze and communicate results in an insightful and effective manner.

  • Ability to take initiative to develop useful reports and analysis based on department and customer needs.

  • Defining and developing reports, interactive dashboards, and business intelligence specifications

  • Participate and support management in the analysis and evaluation of network initiatives, projects, and issues.

  • Interact with Client Analytics to maximize effectiveness of analysis, programming, and reporting

  • Prepare executive level presentations for Senior Management

Position Requirements:

Education: Bachelor’s degree or equivalent work experience required

LicensureN/A

Relevant Work Experience:  

  • Minimum of 3 -5 years of data and statistical analysis and minimum of 2 years of healthcare, preferably managed care and/or behavioral healthcare areas

  • Understanding of provider and health plan relationships, including reimbursement methodologies

Knowledge, Skills & Abilities:

  • Expert Microsoft

  • Excellent Analytical skills

  • Excellent written and verbal communication skills

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options company, is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

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