Healthcare Network Analytics Manager

6 days ago

🌪️ Kansas – Remote

Although this job is listed in Kansas, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

🔴 Lead

📉 Data Analyst

Apply Now

Receive Emails with Similar Jobs

Quest Analytics, LLC

WebsiteLinkedInAll Job Openings

Quest Analytics, LLC is a leading provider of network management solutions and services for healthcare provider networks. The company offers comprehensive tools to manage, analyze, and optimize healthcare provider networks, ensuring efficient access to high-quality healthcare. Their cloud-based Quest Enterprise Services and Quest Analytics Suite provide advanced decision applications, network compliance, performance evaluation, and data integrity tools. Quest Analytics works closely with health systems, regulators, and payers to enhance provider network adequacy and improve healthcare access across the United States.

Healthcare Network Analysis and Adequacy • Healthcare Disruption Analysis • Provider Data • Provider Data Management • Insurance

51 - 200 employees

Founded 1993

⚕️ Healthcare Insurance

📋 Description

•Your Quest: Help make a big difference in healthcare access •At Quest Analytics our team members can fulfill their quest to work in an innovative, collaborative, challenging and flexible environment supportive of personal growth every day. The team is driven to make healthcare more accessible for all Americans. •As a Network Analytics Manager,you will provide analytical support to the Provider Content team that is responsible for managing and mastering the healthcare provider data used to measure the accuracy, adequacy, and accessibility of health plan networks. There are two primary areas of focus. The first is analysis to support the daily operations of campaigns targeted at obtaining primary source attestations of data quality. The second is analysis to support the development of data management and governance rules that can be applied to create a high quality, high integrity master data set that acts as the foundation of all Quest products.

🎯 Requirements

•Minimum of 10 years of experience in data analysis, with a focus on healthcare data. •Experience managing analytics teams. •Experience using software required to manage and visualize data (e.g. Databricks, Power BI, etc.) •Strong analytical skills with SQL, R, or Python programming •Experience working with large public datasets (e.g., PUFs, PECOS, CMS LDS, RIF files) •Knowledge and understanding of managed care concepts and the financial relationship between payers and providers •Knowledge of health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health status risk adjustment •Strong understanding of healthcare analytics space - AI, machine learning, and data management, with the ability to translate technical concepts into actionable product strategies. •Experience with pre-processing of data, such as cleansing, aggregating, sorting, and combining data. Ability to combine multiple sources of data. •Bonus: experience with Medicare Special Needs Plan (SNP), Dual-Eligible plans, ACO programs, Alternate Payment Models (APM), etc.

🏖️ Benefits

•Workplace flexibility – you choose between remote, hybrid or in-office. •Company paid employee medical, dental and vision •Competitive salary and success sharing bonus •Flexible vacation with no cap, plus sick time and holidays •An entrepreneurial culture that won’t limit you to a job description •Being listened to, valued, appreciated -- and having your contributions rewarded •Enjoying your work each day with a great group of people