> Markdown version of [/jobs/ext/506906-provider-network-analyst](https://www.wearedevelopers.com/jobs/ext/506906-provider-network-analyst). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Provider Network Analyst - **Company:** Community Health Plan of Washington - **Location:** Seattle, WA, United States (Remote available) - **Experience:** Experienced - **Salary:** $73,010.0 - $111,710.0 - **Contract:** Permanent contract - **Skills:** Microsoft Access, Microsoft Word, Microsoft Excel, Access Network, Computer Literacy, Network Planning and Design, Pivot Tables, Microsoft PowerPoint, SQL Databases, Windows Software Trace Preprocessor, Data Management, Network Optimization - **Published:** June 7, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=6bc213e9147ee404 ## About the Role Do you have experience in Managed care organization experience?, Do you have a Bachelor's degree?, * Have a bachelor's degree in a related field or an equivalent combination of education and highly relevant experience, required. * Have a minimum of three (3) years' experience working with health care professionals. * Have a minimum of three (3) years' experience in managed care, required. * Have knowledge of Centers for Medicare & Medicaid Services (CMS), Healthcare Authority (HCA), Office of the Insurance Commissioner (OIC) Washington State managed care network regulatory requirements. * Have a minimum of two (2) years of experience managing large amounts of complex data and reconciling data output. * Have experience in project coordination and office support, preferred., * Demonstrated excellent oral, written, interpersonal and analytical skills. * Effective skills in data management accuracy, QA processes and ability to work with multiple and complex data sets on cross-systems. * Ability to independently identify and analyze trends and initiate proactive interventions. * Advanced proficiency with Windows software including Microsoft Word, Excel, and Access. Experience with SQL, Pivot Tables and PowerPoint preferred. * In-depth knowledge of products and managed care operations. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check., * Extended periods of sitting, computer use, talking and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion * Frequent torso/back static position; occasional stooping, bending, and twisting. * Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: * Ability to learn and prioritize multiple tasks at a given time and have the capability of handling demanding situations. Analytical/problem solving/critical thinking ability., * Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well * Enthusiastic: Shows intense and eager enjoyment and interest * Innovative: Consistently introduces new ideas and demonstrates original thinking * Dedicated: Devoted to a task or purpose with loyalty or integrity * Team Player: Works well as a member of a group, * Self-Starter: Inspired to perform without outside help * Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work * Growth Opportunities: Inspired to perform well by the chance to take on more responsibility * Goal Completion: Inspired to perform well by the completion of tasks * Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals ## Description This position is responsible for provider network performance analysis, development of provider monitoring of network data elements and standards to ensure network capacity, to include Behavioral Health provider access. The role partners with cross functional teams to deliver insights that support network strategy., * Leads network performance analytics, including KPI trend analysis, network access and adequacy analysis, and identification of network gaps and improvement opportunities. * Develops and maintains model to assess and monitor Community Health Plan network performance and development strategies, ensuring alignment with organizational goals. * Collaborates with subject matter experts to track key performance indicators, identify trends and recommend interventions for network improvement. * Analyzes demographic and utilization data, providing insights to support regulatory filings and identify opportunities for network expansion. * Monitor Medicare network to identify access and gap issues and provide analysis for resolution in support of monthly reporting and annual CMS network and exception process submissions. * Maintains plan HSD tables and monthly Medicare reporting according to CMS standards, researching data discrepancies to correct identified issues when applicable. * Responsible for submission of Provider Network Form A Certification letter to the OIC, to include monitoring files being available for auto-submission by IT. * Collaborate on contracting provider data gaps to ensure reliability, completeness, and consistency. * Analyzes Behavioral Health network and outreach in support of Quarterly HCA Provider Network Submission, to include regular review of geographic/service coverage of Behavioral Health Agencies. * Supports Behavioral Health AADR process through data analysis and reporting, in alignment with contract department review. * Develops Mental Health Assessment utilizing claims information and compilation of data sets to support analysis. * Leads the creation and execution of process improvement strategies to optimize departmental systems and align performance with organizational objectives. * Collaborates across departments and teams to initiate and deliver projects that advance network strategy and fosters interdepartmental partnerships. * Supports the development of internal consulting capabilities for CHPW to strengthen delivery systems performance. * Participate in cross-training with department analysts and program managers. * Other duties as assigned. ## Related Videos - [Developing the Rich Text Editor for DeepL.com](https://www.wearedevelopers.com/videos/1172-developing-the-rich-text-editor-for-deepl-com) - [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1146-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases) - [Beyond Dashboards: Fixing Text-to-SQL with Semantic RAG](https://www.wearedevelopers.com/videos/2036-beyond-dashboards-fixing-text-to-sql-with-semantic-rag) - [Your organization as a Graph](https://www.wearedevelopers.com/videos/2051-your-organization-as-a-graph) - [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1520-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases) - [Demografie nutzen um jedem Bewerber das passende Angebot zu machen!](https://www.wearedevelopers.com/videos/836-demografie-nutzen-um-jedem-bewerber-das-passende-angebot-zu-machen) ## Related Articles - [What Are The Top Skills Required For Azure Developers?](https://www.wearedevelopers.com/magazine/77-what-are-the-top-skills-required-for-azure-developers) - [How to Write a CV and Interview if You Don't Fully Qualify For The Job](https://www.wearedevelopers.com/magazine/183-how-to-write-a-cv-and-interview-if-you-don-t-fully-qualify-for-the-job) - [Should senior developers refuse interview coding challenges?](https://www.wearedevelopers.com/magazine/29-should-senior-developers-refuse-interview-coding-challenges) - [Data Analyst Salary in the UK](https://www.wearedevelopers.com/magazine/278-data-analyst-salary-in-the-uk) - [Tips on mastering remote job interviews](https://www.wearedevelopers.com/magazine/23-tips-on-mastering-remote-job-interviews) - [How to Respond to the “Why Do You Deserve a Promotion?” Question](https://www.wearedevelopers.com/magazine/416-how-to-respond-to-the-why-do-you-deserve-a-promotion-question)