Senior Network Operations Analyst @ Gravie

Manage the day-to-day operations of Gravie's existing provider networks, staying on top of open issues, renewals, and anything that needs attention

Document network operations processes and keep them current as workflows evolve

Administer the provider network inquiry intake system day to day — apply triage rules and prioritization criteria, monitor SLAs and queue aging, and report on volume and resolution trends across all channels

Build and maintain network scorecards that give the team a simple, reliable view of how the network is performing

Dig into deviations or inconsistencies in provider reporting, run them down to root cause, and recommend process fixes to Network leadership

Turn network data into practical insights that the Network leadership team can use to make decisions

Partner with Contracting, Customer Service, Claims and our Networks to close gaps in how provider data flows between teams and systems

Identify where manual, ad hoc work can be replaced with a repeatable process, checklist, or lightweight tool

Act as a key operational partner to Provider Network leadership, flagging risks and recommending fixes before they become bigger issues

Bachelor's degree, or equivalent experience, and 2+ years of experience in network operations, health plan operations, or provider network management

2+ years of experience building or improving operational processes in a healthcare or health plan setting

2+ years of experience managing the ongoing performance of a provider network or similar operational function

2+ years of experience working with provider, claims, or network data to build reporting or track performance