Provider Ntwrk Adequacy Anlyst

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

Provides and develops requested reports, analysis and metrics to assess provider network adequacy. Assesses demands for geographical services for all specialty types. Plays a key role in the development and maintenance of the demand capacity tool that is used to help analyze network accessibility/capacity and for managing requests for additional providers to address gaps. Provides analytical support and supports internal and external customers with network assessments to address deficiencies. Supports the production, reviews and actions necessary from mandated program reports. Produces outcome and program reports and suggests strategies and recommendations for improvement.

Education & Experience

Key Responsibilities

• Performs analysis to assess accessibility and capacity of provider network
• Supports others in assessments
• Develops, manages and address provider network gaps
• Maintains and improves demand capacity and network adequacy tools
• Identifies, designs, and conducts network adequacy/capacity assessments
• Monitors program metrics and resulting outcome reports. Writes and produces professional quality internal and external position papers, reports and plans.
• Supports the review and submission of mandated reports to the government
• Supports responses to internal and external ad hoc requests
• Compiles and analyzes network adequacy data to prepare reports for submission
• Performs other duties as assigned
• Regular and reliable attendance is required

Competencies

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.

Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required.

Information Management: Ability to manage large amounts of complex information easily, communicate clearly, and draw sound conclusions.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

Technical Skills: Proficient in Excel, Word, PowerPoint and Visio; expertise in preparing written communications and presentations; knowledge of performance measurement and quality improvement tools and disease management concepts. Prefer experience with Tableau and/or PowerBI.

Working Conditions

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $80,000 to $89,000 per year.

Taking Care of Our Nation’s Heroes.

It’s Who We Are. It’s What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage
• Paid time off
• 401(k) Retirement Savings Plan (with matching)
• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
• Tuition reimbursement
• Paid volunteer time

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.