Remote Provider Network Analytics Specialist

Aflac; Town of Florida (NY); Hybrid; USD 50,000 - 65,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Prescription drug coverage

401(k) plan

Annual bonuses

Employee stock purchase

Job summary

Aflac Columbus is hiring for a data/analytic role in the Healthcare/Insurance division. Depending on your location, the position may be hybrid or fully remote across the continental US.

The role emphasizes data analytics, network reporting, and collaboration with cross-functional teams. Applicants should hold a Bachelor's degree in Business Administration or related field and have at least two years of relevant work experience.

Qualifications

• Bachelor's Degree Business Administration or related field
• Two years of related or other professional level work
• Or an equivalent combination of education and experience
• Experience in healthcare industry
• Experience with various contract management systems

Responsibilities

• Create and maintain all provider directories as needed, particularly client related submission.
• Ensure Network Adequacy and Disruption Reports are generated in a timely manner. Run monthly client network adequacy reports and deliver results to Network Manager to determine if any network gaps exist.
• Act as Team Lead for Sales department in Network Adequacy and Disruption Analysis. Train sales account manager on analytics software, act as support, and if needed run reports in the absence of sales account manager.
• Develop monthly client Score Cards and deliver to internal department on a timely basis.
• Adhere to data entry parameters and ensure deadlines for completion of require reports are met on a monthly basis; collaborate with other department staff to ensure adherence to deadlines and accuracy standards.
• Serve as a special project leader, such as data maintenance configurations and updates based on request or Provider Relation Department needs, or as other needs arise.
• Perform other duties as necessary.

Skills

Analytical skills

Communication

Critical thinking

Problem solving

Integrity

Education

Bachelor's Degree Business Administration or related field

2 years of related or other professional level work

Tools

Contract management systems

Job description

Aflac Columbus is hiring for a data/analytic role in the Healthcare/Insurance division. Depending on your location, the position may be hybrid or fully remote across the continental US.

The role emphasizes data analytics, network reporting, and collaboration with cross-functional teams. Applicants should hold a Bachelor's degree in Business Administration or related field and have at least two years of relevant work experience.