Network Management & Contracting Business Manager (Kentucky)
Core
Centralized resource for network performance, regulatory reporting, provider data, and network adequacy analysis to support network strategy and compliance.
Role type
Senior individual contributor Business Analyst (Healthcare Network Management)
Builds
Regulatory reports, network adequacy dashboards, and process improvement initiatives for provider networks.
Domain
Healthcare / Health Insurance / Network Management
Deliverable
dashboards & analysis
Required skills
Data analysis, regulatory reporting, process improvement, SQL, Microsoft Office Suite, data governance
Preferred skills
Healthcare domain knowledge, project management, claims data analysis, root cause analysis
Responsibilities
Prepare and submit state/regulatory/accreditation network reports; Analyze network adequacy and accessibility across provider types; Identify network gaps, trends, and risks; Coordinate network-related projects and initiatives; Recommend solutions to improve network and contracting operations.
Seniority
Senior, hands-on IC
