Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.
What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.
If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.
The Network team is responsible for building, optimizing, and transforming Care Partner’s networks into market leading integrated delivery systems. The Provider Analytics Consultant collaborates with other teams at Bright, including Care Partner and business development, market leadership, health optimization, distribution, marketing, operations, analytics, legal, and finance. Represents Bright to external partners, including identifying and developing key new participants of Bright’s insurance networks.
1. Support advancement of network design strategy, overseeing development of proprietary Bright standards, alignment to regulatory requirements, and evaluation of development needs across both active and new markets. 2. Build proprietary Bright standards for quality and access that encompasses individual, practice, and overall downstream ecosystem performance for professional, facility, and ancillary providers. 3. Own development plan construction and oversight for active and new markets, including but not limited to initial diligence, prioritization, re-prioritization based on network development progress. Produce reporting to highlight network development progress and create scenario analyses to understand the impact of contracting with prospective provider groups. 4. Identify, develop and implement best practices for network growth and optimization. 5. Facilitate internal and external stakeholder discussions using provider data analytics to drive decision making and constant progress towards the goal. 6. Analyze existing and potential Care Partner networks against regulatory standards to inform market viability. 7. Contribute to the development of best practices for reimbursement level/structure as well as provider contract negotiation/execution in new and existing Bright markets. 8. Support State and Federal Regulatory Network Filings in live and expansion markets, providing provider reporting materials as needed.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE • Bachelor’s degree in a related field required • Two (2) or more years of experience, ideally at a consulting firm, investment back, healthcare provider, payer, or vendor
PROFESSIONAL COMPETENCIES • Strong creative thinking skills and ability to analyze problems requiring multiple and/or unconventional approaches • Desire and ability to quickly move between highly detailed analytics and big picture strategic thinking • Excellent multitasking and prioritization skills with a proven ability to manage multiple projects in parallel to completion • Bias toward action; sense of urgency, self-initiative, and ownership of work • Superb written and verbal communication skills • Ability to organize and collaborate on internal and external-facing projects across cross-functional teams • Experience with MS Excel functions that include working with large data sets, creating standardized reports, utilizing vLookups and advanced functions/ formulas, creating, using and interpreting pivot tables, filtering and formatting. • Data querying skills using tools such as Microsoft Access, SQL, and SAS Enterprise Guide • Ability to prepare dashboards and presenting data using a data visualization tool such as Tableau and Power BI
NICE TO HAVE • Knowledge of and experience working with healthcare data including but not limited to claims, testing results and pharmacy data required
LICENSURES AND CERTIFICATIONS No licensures and/or certifications are required for this role.
WORK ENVIRONMENT The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Some travel may be required.
We’re Making Healthcare Right. Together.
We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
Focusing on Consumers We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
Building on Alignment We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
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We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.