The following provides a general description of duties and a more specific description of requirements for the Staff Analyst – Network Adequacy and Healthcare. Please note that the summary of responsibilities and required abilities identified below are not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
The Staff Analyst - Network Adequacy and Health Care position will conduct an analysis of the current contracted provider network to survey for areas that do not meet federal requirements around network adequacy. This position will develop and implement a provider outreach approach for traditional and non-traditional organizations (e.g. federally qualified health centers [FQHC], social service agencies, faith-based organizations, etc.) that is sustainable and consistent with specialty managed care. This requires specialized knowledge of healthcare industry and recruitment models.
The duties of the Staff Analyst – Network Adequacy and Healthcare include, but are not limited to:
- Analyze data to create a report and develop a plan to address network gaps in provider coverage areas, including by age, primary language, and specialty (e.g., co-occurring mental health, complex health condition);
- Work with various FQHCs, community clinics, and hospitals to identify strategies for expanding the network and increasing access to difficult to attain levels of care;
- Establish standardized processes to improve provider recruitment efforts, including navigating the State and County contracting processes and creating end-to-end workflows;
- Create a formalized onboarding process that ensures a smooth transition for new providers entering the system of care; and
- Other duties as assigned.
- A Bachelor’s Degree from an accredited college or university in a discipline related to the core business function of the department -AND- two (2) years of experience in the analysis of public or non-public programs including those in health (e.g., medicine, physiology), public health, public policy and/or social work/social welfare. A Master’s Degree from an accredited college or university in a discipline related to the core business function of the department may be substituted for one (1) year of the required experience.
- Experience conducting health and behavioral health provider recruitment and developing onboarding workflows and protocols;
- Knowledge of managed care systems and substance use disorder treatment or other public health programs;
- Experience in conducting research and analysis to determine gaps/needs as well as developing and coordinating actions steps to address them.
- Computer literate, proficient in the use of MS Windows-based programs, such as MS Office (Word, Excel, PowerPoint, and Access), and knowledge of MS Dynamics software applications; and
- Excellent oral, written, and interpersonal communication skills.