[Remote] Network Report Analyst Sr

Note: The job is a remote job and is open to candidates in USA. AmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive healthcare solutions. The Senior Network Report Analyst is responsible for extracting and evaluating provider data to generate reports and create automated reporting solutions for various lines of business.

Responsibilities

• Reporting to the Director of CPNO Initiatives, the Sr. Network Report Analyst is responsible for extracting, manipulating, and evaluating accuracy of provider data from various sources to generate reports and to create automated reporting solutions for new and existing lines of business for all products and programs
• Understand multiple backend provider data sources (e.g. Facets, Cactus, Contract Manager, NPPES, Enclarity, corporate vendor-obtained sources, and other External Regulatory data files) for the purposes of writing queries, developing reports as well as designing, developing, implementing and maintaining business solutions
• Understands existing and new business for delivering work products for RFIs, RFPs, new markets and contracts to address all network management stages and reporting requirements to demonstrate network adequacy, network gaps and solution analysis using geo-spatial tools such as GeoNetwork, Maptitude and other available resources
• Provide business and network analysis, summary, reports and dashboards of issues, trends, recommendations and obstacles
• Creates advanced reporting preparations, designs and layouts
• Interprets provider data using various techniques, from data aggregation to complex data mining
• Analyzes provider data files received from joint venture partners to evaluate issues and usefulness
• Coordinates with technical resources from joint venture partners and other internal resources to address and resolve data questions and anomalies
• Creates technical specifications for routine, recurring, and ad-hoc reports
• Assures the accuracy and validity of data and reports through a validation process to cross-reference output and source data; identifies provider data gaps/anomalies and provides recommended solutions to the business owner
• Mentors junior analysts
• Creates automated reporting solutions for teammates, or end-user customers across the organization
• Work collaboratively with internal customers to articulate and share results, resolutions, expectations and deliverables

Skills

• Bachelor's Degree required
• Medicaid/Medicare or Healthcare required
• Managed Care operations experience with Report Writing, Data Analysis, Data Research
• 5+ years' experience in SQL programming, Sybase, Oracle database management systems and Structured Query Language required
• 5+ years of data analysis and data mining, including advanced, report preparation, layout and design
• Experience with databases, report preparation, layout and design
• Experience developing front-end reporting solutions, for front-end users/customers to pull reports themselves
• Business process and quality improvement understanding
• Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Access). Prior Microsoft Access experience is a requirement
• Ability to plan, organize and handle multiple tasks in minimal timeframes and with limited supervision required
• 1 to 3 years Provider Data knowledge preferred

Benefits

• Flexible work solutions including remote options
• Hybrid work schedules
• Competitive pay
• Paid time off including holidays and volunteer events
• Health insurance coverage for you and your dependents on Day 1
• 401(k)
• Tuition reimbursement
• And more

Company Overview

• AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill. It was founded in 1982, and is headquartered in Philadelphia, Pennsylvania, USA, with a workforce of 10001+ employees. Its website is http://www.amerihealthcaritas.com.

Company H1B Sponsorship

• AmeriHealth Caritas has a track record of offering H1B sponsorships, with 18 in 2025, 17 in 2024, 12 in 2023, 14 in 2022, 4 in 2021, 11 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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