LTSS Provider Network Operations Analyst II

Provider Network Operations Analyst II

The Provider Network Operations Analyst II executes small to medium scale project plans, business and data analysis, and provides specialized support of the LTSS & HCBS provider network and EVV compliance initiatives.

Essential Functions :

• Analyze data, workloads, and processes to enhance operations efficiencies in support of LTSS & HCBS providers.
• Identify trends and solutions to operational support and ensure provider adherence to regulatory and contractual requirements.
• Perform quality assurance reviews to ensure that provider information is loaded correctly, and contracting terms are accurately operationalized.
• Assist with research and resolution of provider inquiries and provide a professional and comprehensive response to providers and other stakeholders as required.
• Improve Electronic Visit Verification compliance rates for provider network.
• Perform virtual initial onboarding and ongoing education to provider network.
• Manage online communications and optimize service delivery and provider experience.
• Assist with network adequacy requirements through analysis and service delivery resulting in provider retention.
• Responsible for understanding regulations changes and monitoring LTSS and HCBS provider network for compliance.
• Partner with leadership within business area to prioritize opportunities to achieve department and organizational goals.
• Support LTSS updates via network notifications, virtual townhalls, and direct interactions.
• Recognize and proactively identify operational dependencies and process improvements.
• Develop and maintain dashboard reporting for leadership.
• Produce detailed reports and business decision documents.
• Develop and maintain an in-depth knowledge of the company's business and regulatory environments.
• Perform any other job-related instructions, as requested.

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range : $61,500.00 - $98,400.00

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly / salary) : Salary

Organization Level Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.