- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Senior Network Adequacy Analyst - Grand Prairie, United States - Elevance Health
Description
Senior Network Adequacy AnalystLocation:
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.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $86,160 - $155,088
Locations:
New York
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.