Senior Provider Network Analyst: Data & Contracts

Charleston Area Medical Center; Charleston (WV); On-site; USD 70,000 - 110,000; Full time

Job summary

Charleston Area Medical Center in West Virginia seeks a Senior Provider Network Analyst for the WVPHO Administration at Northgate-400 Association Dr. This role serves as a SME for provider network operations, data integrity, and configuration management, supporting new business initiatives and managed care contracting.

You will conduct advanced data analysis, develop dashboards, and collaborate with Contracting, Claims, Regulatory, IT, and Network Management teams to drive improvements and

Qualifications

• Requires strong analytical experience in provider networks and contracts.
• Demonstrates ability to translate business rules into configuration parameters.
• Experience with data integrity, audits, and large data sets.

Responsibilities

• Identify and resolve provider network issues through advanced data analysis and cross-functional collaboration.
• Extract, audit, and validate large provider data sets for new implementations and expansions.
• Ensure compliance with contracts, regulatory requirements, and plan policies; propose corrective actions.
• Develop dashboards, scorecards, and models to support network strategy and decision-making.
• Lead or co-lead configuration and testing for new reports and system enhancements.
• Mentor junior analysts and represent network area in enterprise initiatives.

Skills

Advanced data analysis

Data mining

Excel

Contract maintenance software

Cross-functional collaboration

Education

Bachelor's Degree

Tools

Provider contract software

Analytics tools

Job description

Charleston Area Medical Center in West Virginia seeks a Senior Provider Network Analyst for the WVPHO Administration at Northgate-400 Association Dr. This role serves as a SME for provider network operations, data integrity, and configuration management, supporting new business initiatives and managed care contracting.

You will conduct advanced data analysis, develop dashboards, and collaborate with Contracting, Claims, Regulatory, IT, and Network Management teams to drive improvements and