Position Overview
Position Overview:
Provider Network Management Analyst is primarily responsible for supporting the Provider Network Access and Development and the Provider Contracting teams with data analysis to inform provider network adequacy, capacity and disparities and to address need areas to support timely and effective access to behavioral health services and meet network adequacy standards.
Essential Functions:
Maintain thorough and complete knowledge of the CBH provider network, including as new initiatives are implemented.Conduct and create ongoing process for data analysis, reviewing the accuracy and integrity of data; monitoring the provider network against member demographics, utilization and other targeted population indicators.Create and conduct ongoing processes to monitor member utilization of in-network and out of network (OON) providers, and identify OON providers not being utilized by membersLead provider network ana...