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Network Operations Analyst

Triple-S · Guaynabo

New
🇬🇧 English

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