Provider Network Adequacy Analyst

Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Remote position in US. Office based in Austin, TX

Provider Network Adequacy Analysis

Position Purpose: With the Provider Network Development and Analysis team, you will support the Provider Network Management functions (not limited to): Network Adequacy analysis, Network Prospecting, and Network financial analysis.

• Maintain Superior’s Provider Networks (for all lines of business) with emphasis on Network Adequacy & Accessibility.
• Support regulatory adequacy filings, service area expansions, access & availability resolution for Superior members.
• Support Provider Network needs of Network Development department.
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures

Required Education/Experience: Bachelor’s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred.

Preferred Skills:

Geo Coding, Geo Access, and Quest Analytics Suite software

Provider Network Management experience

Regulatory Adequacy filing experience

Highly Experienced in MS Excel & MS Access

Project Management / Lead experience

Some SQL experience (Teradata / SQL Server)

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act