Provider Contracting Operations Analyst

California, CA - USA

Yearly Salary: $ 92000 - 108000

Posted on: 12 hours ago

Vacancies: 1 Vacancy

Job Summary

Job Title: Provider Contracting Operations Analyst
Department: Provider Contracting Operations
FLSA Status: Exempt

About the Role:
This role is responsible for designing developing and maintaining reporting databases to support the teams business requirements and continually improve data acquisition and reporting methods. This includes periodically reviewing and enhancing database processes and functionalities developing internal systems and exception reports and ensuring timely and accurate credentialing contracting and provider information management performing these functions the role regularly exercises discretion and independent judgment in analyzing complex data developing reporting solutions and supporting operational strategies that impact provider networks and contracting outcomes.

What Youll Do

Design develop and maintain databases tracking tools and reports leveraging department systems supporting network adequacy and department operations
Perform routine ad-hoc and audit-related analyses
Serve as a point of contact for department-related data requests ensuring timely accurate delivery
Support integration and data exchange between internal and external systems and business intelligence platforms
Identify opportunities to streamline department operations through improved data workflows reporting and automation
Develop and deliver data analytics and reporting training for department team members
Provide guidance and support to all users utilizing department data systems. Promote data discipline and best practices across the contracting organization

Qualifications

Education & Experience

Bachelors degree in Healthcare Administration Business Administration Mathematics Data Analytics or a related field such as 57 years of experience in provider contracting managed care operations or healthcare data analytics or an equivalent combination of education and experience
Demonstrated experience in an IPA health plan hospital or managed care organization preferred
Strong background in healthcare contracting data provider networks capitation models and operational analytics

Skills & Knowledge

Advanced proficiency in Microsoft Excel (formulas functions pivot tables data validation)
Experience designing and maintaining databases dashboards and analytical reports
Strong understanding of managed care contracting provider reimbursement and healthcare data integrity
Ability to translate complex data into actionable insights for operational and leadership stakeholders
Strong organizational communication and cross-functional collaboration skills

Youre great for this role if:

You enjoy working collaboratively with cross-functional stakeholders and teams
You are detail-oriented and thrive in environments where data accuracy and process discipline matter
You can independently analyze complex data sets and communicate findings clearly to both technical and non-technical audiences
You are proactive in identifying process improvements and building scalable solutions
You are comfortable supporting operational decision-making with data-driven insights

Environmental Job Requirements and Working Conditions

This is a remote position. The home office is located at 600 City Parkway West 10th Floor Orange CA 92868.
This position requires coming into office at least once per month at our offices located in 1600 Corporate Center Dr. Monterey Park CA 91754 and 600 City Parkway West 10th Floor Orange CA 92868. Additional in-office days may be required based on business needs or special projects.
The total compensation target pay range for this role is: $92000 - $108000. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race religion color national origin gender (including pregnancy childbirth or related medical conditions) sexual orientation gender identity gender expression age status as a protected veteran status as an individual with a disability or other applicable legally protected characteristics. All employment is decided on the basis of qualifications merit and business need. If you require assistance in applying for open positions due to a disability please email us at to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Required Experience:

Job Title: Provider Contracting Operations Analyst Department: Provider Contracting Operations FLSA Status: Exempt About the Role: This role is responsible for designing developing and maintaining reporting databases to support the teams business requirements and continually improve data acquisition...