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Senior Network Adequacy Analyst

Location:

  • TX, GRAND PRAIRIE
  • GA, ATLANTA
  • NY, NEW YORK
  • NY, NEW YORK
  • IL, CHICAGO

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Description

Senior Network Adequacy Analyst

Location: 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

Location: 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. 

* 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.


 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.

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