Field-Based Provider Network Analytics Manager

Peach State Health Plan, Inc.; Georgia; On-site; USD 88,000 - 158,000; Full time

Job summary

Peach State Health Plan, Inc. in Georgia seeks a Network Performance Analytics Manager to lead development of contracting analytics and modeling applications. The role requires residence in Georgia due to travel demands.

You will work directly with providers and internal teams, oversee project applications, analyze unit cost trends, and drive network improvement opportunities across statewide contracts. Strong collaboration across departments is essential.

Qualifications

• Bachelor’s degree in Business, Economics, Finance, Healthcare or related field or equivalent experience.
• 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience.
• Experience as a lead in a functional area, managing cross functional teams on large scale projects; supervisory experience including hiring and training.

Responsibilities

• Oversee development of project applications and determine the financial impact of contract negotiations and statewide rate changes.
• Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools.
• Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders.
• Oversee, monitor and measure unit cost trends and network improvement opportunities.
• Support existing application solutions, identify and develop technical enhancements to improve outcomes.
• Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones.

Skills

SQL

SAS/SPSS

Office Suite

Visio

Contract modeling

Education

Bachelor’s degree in Business/Economics/Finance/Healthcare or related field

Job description

Peach State Health Plan, Inc. in Georgia seeks a Network Performance Analytics Manager to lead development of contracting analytics and modeling applications. The role requires residence in Georgia due to travel demands.

You will work directly with providers and internal teams, oversee project applications, analyze unit cost trends, and drive network improvement opportunities across statewide contracts. Strong collaboration across departments is essential.