What are the responsibilities and job description for the Manager Provider Network Adequacy position at AMERINC?
Role Overview
The Manager Provider Network Reporting manages a team of Data Analysts responsible for meeting provider network reporting needs related to the evaluation of network strength/adequacy and the identification of network gaps, in support of new business, new products, and RFPs
Work Arrangement
- Remote
Responsibilities
- Generates reports used to analyze network adequacy, perform gap analysis and support design & construction of optimally-sized networks meeting all state and federal regulatory requirements
- Supports reporting for network intelligence and network management to achieve milestones and goals throughout new business lifecycle
- Manages the development and implementation of business analysis and reporting needs to assure accuracy, compliance and delivery for RFPs, new and emerging markets, existing LOBs and new product
- Manages the new business continuum for provider network reports and deliverables to monitor network development, gaps and strategy
- Implements processes and programs for network analysis and reporting to optimize proficiency, efficiency and scalability
- Work closely with business, plans, and network management to translate analytics into business impacts and network optimization
Education and Experience
- Five to ten (5 to 10) years of supervisory experience
- Minimum of three (3) years of health care experience
- Experience in Provider Network Management preferred
- Previous experience in data analysis and reporting using SAS / SQL, Python, Excel, and Access preferred
- Bachelor's degree
Skills & Abilities
- Competency in math, statistics, software programming and data management
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.