Business Analyst

Astrana Health; Houston (TX); Hybrid; USD 75,000 - 85,000; Full time

Job summary

ApolloCare TX - Provider Relations is seeking a Business Analyst to support the Texas Market Provider Relations team. You will analyze provider networks, IPAs, ACOs, and health plan arrangements, translating data into actionable insights to drive provider satisfaction and value-based care initiatives.

This role reports to the Texas Market Provider Relations Leader and focuses on tracking initiatives, building reports and dashboards in Excel and Power BI, and coordinating cross-functional

Qualifications

• Bachelor's degree in a related field preferred.
• Minimum of 3 years in healthcare operations, provider relations, or related.
• Strong Excel skills including pivot tables, VLOOKUP/XLOOKUP, and data validation.
• Excellent written and verbal communication.
• Ability to manage multiple priorities and stakeholders in a fast-paced environment.

Responsibilities

• Track provider issues, health plan escalations, and market priorities for Texas.
• Develop and maintain reports, dashboards, and analytics on provider performance, membership, claims, and quality.
• Analyze provider and market data to identify trends, risks, gaps, and opportunities; present recommendations.
• Support health plan delegation activities including provider roster validation and routing concerns.
• Assist with ACO recruitment tracking, provider participation, and value-based care initiatives.
• Coordinate cross-functional projects like market transitions and delegation readiness activities.
• Prepare materials and summaries for provider meetings and executive presentations.
• Track project timelines, action items, and deliverables to support market execution.

Job description

Department: ApolloCare TX - Provider Relations

Location: 19500 HWY 249, Suite 570 Houston, TX 77070

Compensation: $75,000 - $85,000 / year

Description

We are currently seeking a highly motivated Business Analyst, Market Provider Relations to support our Texas Market Provider Relations team. This role reports to the Texas Market Provider Relations Leader and will provide analytical, reporting, operational, and project support across multiple provider networks, IPAs, ACOs, and delegated health plan arrangements throughout the Texas market.

The ideal candidate is highly analytical, detail-oriented, and organized, with the ability to translate complex healthcare data into actionable insights. This role will play a key part in supporting provider satisfaction, operational excellence, health plan delegation readiness, and value-based care initiatives while helping leadership manage provider-related priorities and market performance.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• Support Texas Market Provider Relations leadership by tracking provider issues, health plan escalations, operational initiatives, and market priorities.
• Develop and maintain reports, dashboards, and analytics related to provider performance, membership, claims, authorizations, quality, utilization, risk adjustment, and value-based care outcomes.
• Analyze provider and market data to identify trends, risks, gaps, and opportunities, and present actionable recommendations to leadership.
• Support health plan delegation activities, including provider roster validation, provider loading, configuration issues, claims and authorization routing concerns, and escalation management.
• Assist with ACO recruitment tracking, provider participation, performance reporting, and value-based care initiatives.
• Coordinate cross-functional projects, including market transitions, health plan implementations, provider engagement initiatives, delegation readiness activities, and operational improvement efforts.
• Prepare materials, reports, and summaries for provider meetings, Joint Operating Committees (JOCs), leadership meetings, board meetings, and executive presentations.
• Track project timelines, action items, deliverables, and follow-up activities to support successful market execution.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, Data Analytics, Public Health, or a related field preferred.
• Minimum of 3 years of experience in healthcare operations, provider relations, managed care, business analysis, data reporting, or project coordination.
• Strong proficiency in Microsoft Excel, including pivot tables, VLOOKUP/XLOOKUP, formulas, filtering, and data validation.
• Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities, deadlines, and stakeholders in a fast-paced environment.
• Ability to work independently while collaborating across cross-functional teams.

Preferred Qualifications

• Experience working with provider networks, IPAs, ACOs, MSOs, health plans, or value-based care organizations.
• Experience with EZCap, Monday.com, Clarity, Power BI, health plan portals, provider rosters, claims reporting, or healthcare analytics tools.
• Knowledge of Medicare Advantage, Medicaid, MSSP ACO, ACO REACH, delegated claims, delegated authorizations, credentialing, and provider configuration processes.
• Experience supporting executive reporting, provider issue management, market operations, or healthcare project initiatives.

You're Great for This Role If You

• Enjoy working with data and turning insights into actionable business decisions.
• Have strong attention to detail and can identify discrepancies across multiple reports and systems.
• Thrive in a fast-paced environment while managing competing priorities and deadlines.
• Are highly organized with strong follow-through and accountability.
• Build strong relationships and communicate effectively with stakeholders across all levels of the organization.
• Have a provider-focused mindset and a passion for improving healthcare operations.
• Continuously seek opportunities to improve processes, reporting, and operational efficiency.

Environmental Job Requirements and Working Conditions

• This position may operate in a hybrid environment with a combination of office and remote work based on business needs.
• Frequent use of computers, reporting systems, spreadsheets, and healthcare operating platforms.
• Ability to attend provider meetings, leadership meetings, and other business-related events as required.
• May require occasional travel within the Texas market.