Karna, LLC

Data Analyst

• Drive strategic, data-informed decision-making through advanced analysis, reporting, and cross-functional consulting.
• Lead analytical support for network development initiatives.
• Partner closely with stakeholders across multiple departments.
• Translate complex datasets into clear insights, progress metrics, and actionable recommendations.
• Ensure client deliverables are met by delivering accurate, timely analysis, and reporting.
• Become an expert in available data sources and advise on best databases for requests.
• Extract, cleanse, and validate data using tools such as Excel, SQL, and Tableau.
• Execute and document repeatable workflows that define how client needs will be met across the project lifecycle.
• Synthesize and enrich incoming data flows into clear narratives.
• Design, track, and maintain progress metrics and dashboards that translate into clear visualizations.
• Serve as an advisor and thought partner to internal stakeholders.
• Build and maintain strong relationships with leaders and data users.
• Develop and refine methodologies to extract, transform, and present data.

Data Analytics Lead

Director

• Lead execution of network development initiatives across assigned clients, markets, and products; ensure on-time, on-budget delivery that meets adequacy, access, and regulatory requirements
• Partner with executive leadership to translate enterprise network strategy into actionable plans, milestones, success metrics, and delivery roadmaps
• Lead network design and build activities (e.g., provider targeting, adequacy analysis, prioritization, sequencing) and develop fastest-path-to-adequacy plans aligned to client and regulatory standards
• Lead provider recruitment and contracting across physicians, hospitals, and ancillary providers; oversee complex negotiations including reimbursement structures, value-based arrangements, and performance terms
• Balance contracting strategies across access, quality, cost efficiency, and long-term sustainability; partner with legal, finance, and analytics to support compliant, competitive contract execution
• Provide senior-level client leadership: serve as a strategic contact, manage escalations, support governance, and drive satisfaction and retention
• Own financial performance for assigned scope, including budget management, margin targets, forecasting, and productivity outcomes
• Lead network development operations (intake, workflows, contract lifecycle management, data coordination) and continuously improve scalable operating models
• Oversee analytics and reporting (dashboards, insights, performance tracking); ensure data quality and governance standards are met
• Drive automation and process improvement to reduce cycle times and cost per contract
• Identify risks, constraints, and opportunities; escalate proactively and drive resolution
• Support growth efforts (pre-sales, solution design, proposals) and identify expansion opportunities in partnership with sales and leadership
• Build and maintain senior-level relationships with provider organizations and key stakeholders

Senior Director, Network Development

Operations

• Oversee and manage projects within Contracts Operations
• Enforce quality and customer service standards for external as well as internal customers; analyze and resolving quality and customer service problems; identify trends; and recommend improvements
• Accomplish productivity targets by communicating job expectations; planning, monitoring, and appraising job results; coaching and counseling
• Act as the POC (Point of Contact) to clients, at times, to provide support and liaison to clients for project-specific questions/answers, and to manage project deliverables and timelines
• Review and analyze daily productivity reports and ensure the team is adhering to established KPI’s

Contracts Operations Manager

• Assist with creating contracts
• Assist with large recruitment email campaigns
• Assist Project Operations Manager with creating Network Development build project-specific protocols and processes
• Lead and coach team members on the projects assigned to them
• Monitor productivity metrics defined by Project Operations Manager and/or Project Operations Supervisor to meet client deliverables
• Train team on project specific protocols and tasks
• Reconcile large groups, facilities, hospital contracts and rosters to database
• Provide Q&A oversight and identify and correct errors by daily review of database reports
• Prepare and send final contract shipments to client
• Oversee any project specific inboxes and process everything received

Lead Contract Operations Specialist

Auditor

• Ensure that all claims received are processed accurately and promptly in accordance with program guidelines
• Perform quality audits on claims adjudicated by claims processors and/or team leads
• Reviewing and addressing provider and customer inquiries externally and internally regarding claim adjudication
• Handling escalated, high dollar or complex claims for audit
• Developing and maintaining claims operations policies and procedures in the claims operations manual
• Resolving pended healthcare claims, prior approval requests and responding to providers
• Analyzing claims to determine whether or not the claims should be approved or denied for payment
• Applying knowledge of medical coding and various medical claims forms to the claims process
• Managing daily workflow for a team of processors, including training of new processors and ongoing updated operational processes
• Generating reports and analyzing the data using Microsoft Excel
• Auditing the work of claims processors
• Subject Matter Expert (SME) for claims processing and adjusting within and outside of the claims team

Data Analytics Lead

Senior Director, Network Development

Contracts Operations Manager

Lead Contract Operations Specialist

Healthcare Claims Auditor