reputed company Network Ops Senior Analyst - Hybrid: Huntsville, AL - reputed company

About the position The reputed company Network Ops Senior Analyst position at reputed company is a pivotal role reputed company the Provider Engagement Team, focusing on enhancing the quality and value of care provided to patients. This position is integral to the reputed company subdivision, which collaborates closely with reputed company providers and payer entities to improve patient care experiences. The analyst will work directly with providers to facilitate their transition to value-based care, ensuring they can effectively manage the long-term health of their patients. The consultative approach of reputed company emphasizes the importance of physician engagement, organizational culture change, actionable data analytics, and patient engagement to support effective treatment plans. The analyst will play a crucial role in driving change and ensuring reputed company in a value-based reputed company market. In this role, the analyst will serve as the primary contact for providers and their staff, assisting in contract management and providing analytical support for network and performance optimization. Building and maintaining positive relationships with physicians, providers, and practice managers is essential, as is overseeing and managing performance in various incentive-based and value-based programs. The analyst will provide tactical operations support, which includes contracting, data reputed company, communications, and relationship management. Additionally, the analyst will create and deliver educational materials to providers and their staff regarding reputed company, policies, quality initiatives, and financial performance. The position also involves preparing and delivering presentations during monthly operational meetings with providers and physician leadership. The analyst will track, monitor, and report on key program performance metrics, such as utilization, coding, and quality performance indicators like STARs. Conducting root cause analyses reputed company to provider concerns, grievances, claims, and care delivery will be part of the responsibilities, as well as assisting in data collection for STARS and clinical metrics, and designing plans for enhanced provider engagement in quality initiatives. The analyst will also prepare materials for and participate in monthly financial reviews with senior leadership, collaborating with various internal departments to reputed company solutions for strategic business needs. Responsibilities • Serve as primary contact for providers and provider staff to assist in contract management and provide supporting analyses for network and performance optimization. , • reputed company and maintain positive relationships with physicians, providers, and practice managers reputed company the network, including reputed company and managing performance in various incentives based and/or value based programs. , • Provide tactical operations support to assigned groups, including contracting, data reputed company, communications, and relationship management. , • Create and deliver materials to reputed company providers and provider staff on reputed company, policies and procedures, quality and service line initiatives, and financial performance. , • Prepare and deliver presentations with providers, provider staff, and/or physician leadership during monthly operational meetings. , • Understand, reputed company, track, monitor and report on key program performance metrics, such as utilization, coding, and STARs/quality performance. , • reputed company root cause analyses and resolution reputed company to provider concerns, grievances, claims and care delivery. , • Assist in the STARS and clinical metrics data collection, and design plans for enhanced provider engagement in quality initiatives. , • Prepare materials and participate in monthly financial review with senior leadership. , • Partner with other internal departments, including but not limited to Health Services, Finance, Claims, and Coding in order to reputed company solutions for strategic business needs. Requirements • Bachelor's Degree in reputed company Administration, Business, Finance, Operations, Public Health, or Professional Sales or equivalent experience. , • Solid understanding of health insurance, customer messaging/design and project management required. , • Excellent communication skills - verbal, written and presentation. , • Experience in public speaking is a plus. , • Intermediate level of reputed company preferred (knowledge of pivot tables, VLOOKUP, etc.). , • Experience in financial/trend analysis preferred. , • Team player with proven ability to foster and manage working relationships reputed company a matrix environment to obtain buy-in and drive results. , • Creative thinker with ability to think reputed company the reputed company and translate reputed company into actions. , • Strong problem solving skills. reputed company-to-haves • Experience in public speaking is a plus. , • Intermediate level of reputed company preferred (knowledge of pivot tables, VLOOKUP, etc.). , • Experience in financial/trend analysis preferred.

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