Provider Network Intelligence Analyst

Carecentrix Hartford , CT 06183

Posted 2 months ago


Each Network Intelligence team member works closely with the assigned region Contract Managers and Regional Directors and will quickly take on a significant amount of responsibility. The quality and creativity of our Network Intelligence team is critical to the success of the Network Management team by gathering, analyzing and synthesizing information.

They uncover critical performance trends and undertake rigorous analyses that drive department and company performance. This team utilizing data is used to assess market and business trends to identify opportunities and risks in the provider network and department. They are able to work with at large data sets and understand trends. These trends are then communicated to the department leadership with recommendations.


  • Conducts primary and secondary research on markets, competitors and customers. Supporting and informing the Contract Managers and Regional Directors Performs analyses to assess provider trends, network adequacy and optimize company performance.

    Performing rigorous strategic and financial analysis to pinpoint appropriate, practical recommendations relative to the provider network Participates in tactical initiatives led by the Network Management department. Collaborates and works well within both the Network Management team and across other departments. Collaborating with team members to derive trends, conclusions and recommendations based on the data and analyses.

    Manage multiple tasks, be detail oriented, be responsive, and demonstrate independent thought and critical thinking. Ad hoc market analysis for projects and other deliverables Collaborates cross functionally to deliver on company initiatives Introducing new Network Management employees to departmental analytic tools and reporting dashboards


  • Bachelor's Degree or two years analytics, consulting or provider/network operations required. Healthcare experience preferred.

    Must be familiar with modern office equipment and must be highly proficient in most Microsoft Access and Excel. Requires critical thinking and independent judgment. Must have demonstrated analytical abilities. Candidate will possess excellent communication (verbal/written), organizational and interpersonal skills.

CareCentrix maintains a drug-free workplace in accordance with Florida's Drug Free Workplace Law.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Provider Collaboration Nurse

Aetna Inc.

Posted 6 days ago

VIEW JOBS 12/12/2018 12:00:00 AM 2019-03-12T00:00 Job Description Exciting opportunity in Chicago, IL; Blue Bell, PA; Columbus, OH and/or Cincinnati OH POSITION SUMMARY The Provider Collaboration Clinician is responsible for a defined population in the assigned provider group(s). The clinician will use practice-wide data to identify clinical trends and opportunities for improvement and will partner with practice leadership to generate improvements for the practice as a whole. In addition, the clinician will assess, plan, implement, and coordinate case management activities with specific assigned members through telephonic and/or face to face interaction. Fundamental Components: Reviews and analyzes data analytics reports for a population of people to identify and assess clinical trends, root causes, and opportunities for improvement in assigned provider groups. Trends may be based on cost data, diagnoses, utilization, etc. of the population. (*) Presents findings and recommended clinical actions to practice leadership and works collaboratively to resolve issues and improve performance and clinical outcomes for the group. Tracks progress of initiatives through continued data analysis, making additional recommendations as needed. Anticipates the needs of assigned provider patient population, assisting the practice to identify members in need of proactive clinical care such as but not limited to well visits. Assesses and evaluates holistic needs of assigned members utilizing the case management process to identify gaps in care and/or barriers to care and implement solutions. BACKGROUND/EXPERIENCE: 5+ years clinical practice experience required. Proficiency with computer skills which includes navigating multiple systems and keyboarding. Proficient in Word, especially Excel with knowledge on how to sort and filter data. EDUCATION The highest level of education for candidates in this position is a Associate's degree or equivalent experience. LICENSES AND CERTIFICATIONS Nursing/Registered Nurse (RN) is required ADDITIONAL JOB INFORMATION Strong data analysis and clinical skills with the ability to utilize data to as a tool to assist in tracking and trending clinical outcomes and clinical information. Excellent oral communication skills, both in small group meetings and in large meetings of 50 or more persons, including the ability to prepare and present effective and compelling power point slides. Excellent writing skills, including the ability to prepare high quality written reports from diverse materials and inputs. Ability to work collaboratively and consultatively with executive level customers. Ability to effectively prioritize and execute tasks in a high-pressure environment based on changing priorities. Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer. Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Typical office working environment with productivity and quality expectations 10 - 25% Travel Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna takes our candidates's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately. Aetna Inc. Hartford CT

Provider Network Intelligence Analyst