Note: The job is a remote job and is open to candidates in USA. Aflac is an insurance company seeking a Provider Network Analyst to support its Dental & Vision division. The role manages provider directories, generates network adequacy and disruption reports, develops client scorecards, supports sales analytics, and leads data-related projects while ensuring accuracy and timely completion of reporting requirements.
Responsibilities
- Create and maintain all provider directories as needed, particularly client related submission
- Ensure Network Adequacy and Disruption Reports are generated in a timely manner. Run monthly client network adequacy reports and deliver results to Network Manager to determine if any network gaps exist
- Act as Team Lead for Sales department in Network Adequacy and Disruption Analysis. Train sales account manager on analytics software, act as support, and if needed run reports in the absence of sales account manager
- Develop monthly client Score Cards and deliver to internal department on a timely basis
- Adhere to data entry parameters and ensure deadlines for completion of require reports are met on a monthly basis; collaborate with other department staff to ensure adherence to deadlines and accuracy standards
- Serve as a special project leader, such as data maintenance configurations and updates based on request or Provider Relation Department needs, or as other needs arise
- Perform other duties as necessary
Skills
- • Analytical Skills: The ability to work with large amounts of data arriving from multiple sources
- • Communication Skills: The ability to communicate with other departments and explain requirements for accurate data entry
- • Critical Thinking: The ability to look at the data, observe/report patterns and trends in errors, input etc. so that workflow performance improves
- • Problem Solving: Present problems with alternatives for resolution or plan to determine the resolution
- • Bachelor's Degree Business Administration or related field
- • Two years of related or other professional level work
- •Or an equivalent combination of education and experience
- ≤ 10%
- • Experience in healthcare industry
- • Experience with various contract management systems
Benefits
- Depending on your location within the continental US, this role may be hybrid or remote.
- Medical, dental, and vision coverage
- Prescription drug coverage
- Health care flexible spending
- Dependent care flexible spending
- Aflac supplemental policies (Accident, Cancer, Critical Illness and Hospital Indemnity offered at no costs to employee)
- 401(k) plans
- Annual bonuses
- An opportunity to purchase company stock
- 11 paid holidays
- Up to 20 days PTO to be used for any reason
- If eligible, state-mandated sick leave
- Other leaves of absence, if eligible
- Adoption and parental leave
Company Overview