Network Operations Analyst
Triple-S · Guaynabo
Job description
About the role
The Network Operations Analyst will turn complex provider network and operational data into actionable insights that drive performance improvement and regulatory compliance within a healthcare environment. This role supports strategic decision‑making by delivering clear reports, dashboards and visualizations on network adequacy, access to care and operational workflows.
Key responsibilities
- Develop, maintain and automate reports and dashboards to monitor network management processes and compliance.
- Analyze provider network adequacy, geographic distribution, provider‑to‑member ratios and access standards.
- Generate reports on provider availability by specialty, region and line of business.
- Evaluate utilization trends and monitor operational metrics such as case volumes, turnaround times and onboarding timelines.
- Ensure data integrity across claims, provider and operational systems, addressing data quality issues.
- Support compliance reporting and audits with accurate network data.
- Respond to ad‑hoc reporting requests as needed.
Required profile
- Strong analytical mindset with ability to interpret complex healthcare data.
- Experience working with provider networks, operations and regulatory standards.
- Ability to collaborate with Provider Network, Operations and leadership teams.
- Attention to detail and commitment to data quality and compliance.
Required skills
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Published 5 days ago
Expires 1 month from now
21 views · 0 interested
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Triple-S
Guaynabo