PNO Business Analyst

Job Description

Job Description

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Vision insurance
• Wellness resources

Summary

Under the direction of the Sr. Manager, Provider Network Operations (PNO), the PNO Business Analyst partners with all organization levels to lead projects, drive results, and resolve problems. Responsibilities include documenting PNO team members' business requirements, processes, and workflows, and creating written and visual depictions of these. Additionally, the analyst will analyze data, identify trends, and produce provider network and process improvement reports.

Duties and Responsibilities:

• Determine operational objectives by studying business functions, gathering information, and evaluating output requirements.
• Conduct insightful ad hoc analyses to investigate operational issues.
• Construct workflow charts and diagrams; write specifications.
• Improve processes by studying current practices and designing modifications.
• Define project requirements by identifying milestones, phases, and elements.
• Monitor project progress by tracking activity, resolving problems, publishing reports, and recommending actions.
• Design and develop complex, actionable reports and dashboards using tools like MS-SQL, Access, and Excel.
• Support the PNO department in analyzing provider network data gaps and directory initiatives by assessing clinical metrics trends and recommending improvements.
• Facilitate health plan tasks, including processing directory data requests.
• Collaborate with department leadership to refine analytic reporting design, utilizing tools like Power BI and Tableau.
• Maintain department protocols by writing and updating procedures.
• Provide user documentation, training, and support.
• Perform QA testing and defect tracking.
• Manage multiple priorities through effective organization and communication.
• Ensure HIPAA compliance.
• Perform other duties as assigned.

Minimum Job Requirements:

• Bachelors Degree in an analytical field or 2+ years in a healthcare reporting/analytic role
• 3+ years in Managed Care or Healthcare industry
• 2+ years in Project Management/Business Analyst with strong analytical, documentation, and implementation skills
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook, Access, PowerBI)
• EZ-CAP experience preferred
• MS SQL, Tableau, Smartsheet, MS Project or other project management tool capabilities are a plus

Skills and Abilities:

• Able to exercise independent judgment and act on it
• Exceptional analytical, mathematical, and problem-solving skills
• Excellent listening, interpersonal, written, and oral communication skills
• Logical and efficient with keen attention to detail
• Highly self-motivated and directed
• Able to prioritize and execute tasks under pressure
• Strong customer service acumen
• Experience in a team-oriented, collaborative environment
• Ability to influence at all levels of the organization

Salary Range:

• $67,500 - $85,000 annually

This is a remote position.