Provider Contracting Operations Analyst
Provider Contracting Operations AnalystDepartment: Provider ContractingEmployment Type: Full TimeLocation: 600 City Parkway West 10th Floor, Orange, CA 92868Reporting To: Sukanya HegdeCompensation: $100,000 - $108,000 / yearDescriptionAbout the Role:This role is responsible for designing, developing, and maintaining reporting databases to support the team's business requirements and continually improve data acquisition and reporting methods. This includes periodically reviewing and enhancing database processes and functionalities, developing internal systems and exception reports, and ensuring timely and accurate credentialing, contracting, and provider information management systems. In performing these functions, the role regularly exercises discretion and independent judgment in analyzing complex data, developing reporting solutions, and supporting operational strategies that impact provider networks and contracting outcomes.Our Values:• Put Patients First• Empower Entrepreneurial Provider and Care Teams• Operate with Integrity and Excellence• Be Innovative• Work as One TeamWhat You'll DoDesign, develop, and maintain databases, tracking tools, and reports leveraging department systems supporting network adequacy and department operationsPerform routine, ad-hoc, and audit-related analysesServe as a point of contact for department-related data requests, ensuring timely, accurate deliverySupport integration and data exchange between internal and external systems and business intelligence platformsIdentify opportunities to streamline department operations through improved data workflows, reporting, and automationDevelop and deliver data analytics and reporting training for department team membersProvide guidance and support to all users utilizing department data systems. Promote data discipline and best practices across the contracting organizationQualificationsEducation & ExperienceBachelor's degree in Healthcare Administration, Business Administration, Mathematics, Data Analytics, or a related field such as 5-7 years of experience in provider contracting, managed care operations, or healthcare data analytics or an equivalent combination of education and experienceDemonstrated experience in an IPA, health plan, hospital, or managed care organization preferredStrong background in healthcare contracting data, provider networks, capitation models, and operational analyticsSkills & KnowledgeAdvanced proficiency in Microsoft Excel (formulas, functions, pivot tables, data validation)Experience designing and maintaining databases, dashboards, and analytical reportsStrong understanding of managed care contracting, provider reimbursement, and healthcare data integrityAbility to translate complex data into actionable insights for operational and leadership stakeholdersStrong organizational, communication, and cross-functional collaboration skillsYou're great for this role if:You enjoy working collaboratively with cross-functional stakeholders and teamsYou are detail-oriented and thrive in environments where data accuracy and process discipline matterYou can independently analyze complex data sets and communicate findings clearly to both technical and non-technical audiencesYou are proactive in identifying process improvements and building scalable solutionsYou are comfortable supporting operational decision-making with data-driven insightsEnvironmental Job Requirements and Working ConditionsThis is a remote position. The home office is located at 600 City Parkway West 10th Floor, Orange, CA 92868.This position requires coming into office at least once per month at our offices located in 1600 Corporate Center Dr., Monterey Park, CA 91754 and 600 City Parkway West 10th Floor, Orange, CA 92868. Additional in-office days may be required based on business needs or special projects.The total compensation target pay range for this role is: $100,000 - $108,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.