Network Compliance Analyst

Austin Community College; Oregon (IL); Remote; USD 40,000 - 64,000; Full time

Job summary

A leading healthcare organization is seeking a Network Compliance Analyst to analyze provider network data and ensure regulatory compliance. This remote position requires strong data analysis skills and offers competitive benefits, including health insurance and paid time off.

Benefits

Health Insurance - no premium for employee coverage

Flexible Spending Accounts

Paid Time Off (PTO) of 24 days

401k with 5% employer match

Qualifications

• Minimum of two years of experience in provider network data analysis.
• Experience in data management, statistics, and network analysis preferred.

Responsibilities

• Compile and analyze provider network data for reporting.
• Prepare and validate network-related reports for stakeholders.
• Perform audits and reconciliations of data across systems.

Skills

Data Analysis

Statistics

Data Management

Education

High School diploma/GED

Associate’s degree in Data Analytics

Job description

You are viewing a preview of this job. Log in or register to view more details about this job.

Working Title: Network Compliance Analyst

FLSA Status: Non-Exempt

Posting Salary Range:$40,314 - $63,217

Office Location: Remote within North Carolina.

POSTING DETAILS:

Make an Impact

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) that manages serious mental health, substance use, traumatic brain injury, and intellectual/developmental disability services in North Carolina. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For

Trillium Health Resources has a career opening for a Network Data Analyst to join our Network Development Team. The Network Data Analyst is responsible for compiling, analyzing, and maintaining provider network data to support reporting needs related to network adequacy, provider data accuracy, and regulatory compliance. This role ensures the integrity and accuracy of provider data, develops reports to assess network performance, and provides insights to support strategic decision-making. If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!

On a typical day, you might:

• Participate in the development of analytical reports by conducting in-depth data analysis, summarizing key findings, and interpreting results. Identifies data errors, inconsistencies, patterns, and trends to support decision-making and continuous improvement.
• Assist in the preparation, validation, and finalization of network-related reports for internal and external stakeholders. Ensures accuracy and completeness of data prior to report submission.
• Perform regular audits and reconciliations of data across multiple processing systems. Identifies discrepancies and works collaboratively to resolve issues, ensuring data integrity.
• Work closely with colleagues to evaluate data quality, identify potential data-related problems, and investigate root causes. Recommends and implements corrective actions to improve data accuracy and consistency.
• Ensure that reports and data visualizations are clear, accessible, and presented in a user-friendly format for stakeholders.
• Develop dashboards and other data presentation tools as needed.

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

• Typical working hours are 8:30am-5pm
• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications:

Education/Experience:
High School diploma/GED and a minimum of two (2) years of experience in provider network data analysis or healthcare reporting.

OR

Equivalent combination of education/experience.

Preferred Education:
Associate’s degree in Data Analytics, Health Informatics, Business, or a related field (such as Information Technology or Statistics) or a Human Services field (such as Psychology, Social Work, etc.) is preferred

Preferred Experience:
Prefer experience in the areas of data management, statistics, and network analysis.

License/Certification:
Must have a valid driver’s license

Location:
Remote within North Carolina.
Must reside in NC to be considered for remote status.

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume. Your resume must provide your level of education and detailed work experience, including:

• Employer Name
• Dates of service (month & year)
• Average number of hours worked per week
• Essential duties of the job as related to the position you’re applying for
• Education
• Degree type
• Date degree was awarded
• Institution
• Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

You will be notified by HR on the status of your application as appropriate. All applicants will receive a final email when the recruitment cycle for the position has closed.

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile.

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

#Innovation #Technology #Careers #NorthCarolina #BehavioralHealth