Design algorithms and query logic to create data sets based on end user requirements
Build disruption lists by comparing datasets and identifying target opportunities for recruiting
Create geographical access reports using Quest to demonstrate coverage adequacy
Present insightful summaries with recommendations that include key themes, trends, and results to internal and external stakeholders
Coordinate, publish and maintain weekly/monthly report schedules
Analyze provider network and utilization by members; responsible for producing reports to ensure enterprise is compliant with ACA and other regulatory agencies, as well as client network adequacy and access requirements
Complete quarterly and annual GEO Access reporting requirements for internal and external clients, as well as ad hoc reporting
Develop network recruiting recommendations for leased network partners in order to maintain optimal network strength
Be source of truth for provider network questions (e.g., annual network size; ad hoc requests for network strength/size; comparison of Dominion network to competitors, etc.)
Coordinator of all network reporting requirements
Design and run quality assurance reports to ensure the integrity of networks within proprietary platform
Ensure that all business deadlines are met according to published Action Plans
Develop visualizations and tracking dashboards that provide real-time insights into provider network performance and growth
Support provider network deliverables across markets by managing and analyzing provider data to support the organization's network operations and strategic objectives
Ensure data integrity, supports provider recruitment and payer requirements, and contributes to cross-functional projects that enhance network processes and performance
Complete other tasks assigned by manager related to reporting/data in the IS Operations framework.

Requirements

2 - 5 years of experience as an analyst
Proficient in data management and analysis tools (Excel, Access, T-SQL, Power BI), data visualization, and Microsoft Office
Experience with Salesforce, Quest Analytics, GEO Access/disruption reports, and Net360 (or similar) preferred
Strong analytical skills and attention to detail; ability to develop and interpret complex data and communicate insights
Experience creating compelling presentations of key findings from an analysis, eg trends, gaps, growth projections, etc. that inform network performance and strategic decisions
Experience building visualizations and tracking dashboards to provide real-time insights into provider network performance and growth
Excellent verbal, written communication, and presentation skills.

Benefits

Medical, Dental & Vision coverage
Retirement Plan
Generous time off including Paid Time Off, Holidays, and Volunteer time off
Incentive Plan
Tuition Reimbursement
more

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data managementdata analysisdata visualizationT-SQLExcelAccessPower BIGEO Access reportingnetwork analysisquality assurance

Soft Skills

analytical skillsattention to detailcommunication skillspresentation skillsorganizational skillscollaborationproblem-solvinginsight developmentreportingstakeholder engagement