Healthcare Network Analytics Manager
Healthcare Network Analytics Manager
Posted on :
16-03-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
16-03-2025
Job Description
Your Quest: Help make a big difference in healthcare access
At Quest Analytics our team members can fulfill their quest to work in an innovative collaborative challenging and flexible environment supportive of personal growth every day. The team is driven to make healthcare more accessible for all Americans.
As a Network Analytics Manageryou will provide analytical support to the Provider Content team that is responsible for managing and mastering the healthcare provider data used to measure the accuracy adequacy and accessibility of health plan networks. There are two primary areas of focus. The first is analysis to support the daily operations of campaigns targeted at obtaining primary source attestations of data quality. The second is analysis to support the development of data management and governance rules that can be applied to create a high quality high integrity master data set that acts as the foundation of all Quest products.
In this role you will:
- Act as a mentor to other Data Analysts Data Stewards and Data QA Analysts by providing guidance and training on data analysis techniques data and product applications
- Participate in sales and consulting calls to understand client needs/requirements and translate that into opportunities for analytic (ARS) engagements or new product enhancements
- Work with the leadership team to assess potential data and analytic vendors and make a go/no go decision on licensing and partnership opportunities
- Pilot new metrics and measures that can be used to enhance Quest products; work with Business Intelligence Analysts to deliver the metrics in strong visuals
This role requires:
- Minimum of 10 years of experience in data analysis with a focus on healthcare data.
- Experience managing analytics teams.
- Experience using software required to manage and visualize data (e.g. Databricks Power BI etc.
- Strong analytical skills with SQL R or Python programming
- Experience working with large public datasets (e.g. PUFs PECOS CMS LDS RIF files)
- Knowledge and understanding of managed care concepts and the financial relationship between payers and providers
- Knowledge of health care claims data coding schemes (ICD9/ICD10 CPT/HCPCS DRGs) and health status risk adjustment
- Strong understanding of healthcare analytics space AI machine learning and data management with the ability to translate technical concepts into actionable product strategies.
- Experience with preprocessing of data such as cleansing aggregating sorting and combining data. Ability to combine multiple sources of data.
- Bonus: experience with Medicare Special Needs Plan (SNP) DualEligible plans ACO programs Alternate Payment Models (APM) etc.
What youll appreciate:
Workplace flexibility you choose between remote hybrid or inoffice.
Company paid employee medical dental and vision
Competitive salary and success sharing bonus
Flexible vacation with no cap plus sick time and holidays
An entrepreneurial culture that wont limit you to a job description
Being listened to valued appreciated and having your contributions rewarded
Enjoying your work each day with a great group of people
Apply TODAY!
About Quest Analytics
For more than 30 years weve been improving provider network management one groundbreaking innovation at a time. 95 of Americas health plans use our tools including the eight largest in the nation. Achieve your personal quest to build a great career here.
Visa sponsorship is not available at this time.
Quest Analytics provides equal employment opportunities to all people without regard to race color religion sex national origin ancestry marital status veteran status age disability sexual orientation or gender identity or expression or any other legally protected category. We are committed to creating and maintaining a workforce environment that is free from any form of discriminations or harassment.
Applicants must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire.
Persons with disabilities who anticipate needing accommodations for any part of the application process may contact in confidence
NOTE: Staffing agencies headhunters recruiters and/or placement agencies please do not contact our hiring managers directly. We are not currently working with additional outside agencies at this time.
Required Experience:
Manager
Employment Type
Full-Time
Key Skills
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