Senior Network Operations Analyst @ Gravie

Summary

Gravie is a company focused on creating beneficial health solutions for small and midsize businesses. They are seeking a Senior Network Operations Analyst to manage and improve the operations of their provider networks, ensuring smooth processes and effective reporting as the company grows.

Responsibilities

• Manage the day-to-day operations of Gravie's existing provider networks, staying on top of open issues, renewals, and anything that needs attention
• Document network operations processes and keep them current as workflows evolve
• Administer the provider network inquiry intake system day to day — apply triage rules and prioritization criteria, monitor SLAs and queue aging, and report on volume and resolution trends across all channels
• Build and maintain network scorecards that give the team a simple, reliable view of how the network is performing
• Dig into deviations or inconsistencies in provider reporting, run them down to root cause, and recommend process fixes to Network leadership
• Turn network data into practical insights that the Network leadership team can use to make decisions
• Partner with Contracting, Customer Service, Claims and our Networks to close gaps in how provider data flows between teams and systems
• Identify where manual, ad hoc work can be replaced with a repeatable process, checklist, or lightweight tool
• Act as a key operational partner to Provider Network leadership, flagging risks and recommending fixes before they become bigger issues

Skills

• Bachelor's degree, or equivalent experience, and 2+ years of experience in network operations, health plan operations, or provider network management
• 2+ years of experience building or improving operational processes in a healthcare or health plan setting
• 2+ years of experience managing the ongoing performance of a provider network or similar operational function
• 2+ years of experience working with provider, claims, or network data to build reporting or track performance
• Experience standing up network operations for a new market or new provider network
• Familiarity with network adequacy requirements or CMS/state reporting standards
• Experience with SQL, Excel, or BI tools (e.g., Tableau, Looker, Power BI)
• Background at a small or fast-growing health plan where you had to build as you went
• Project or program management experience

Qualifications

Must Haves

• Bachelor's degree, or equivalent experience, and 2+ years of experience in network operations, health plan operations, or provider network management
• 2+ years of experience building or improving operational processes in a healthcare or health plan setting
• 2+ years of experience managing the ongoing performance of a provider network or similar operational function
• 2+ years of experience working with provider, claims, or network data to build reporting or track performance

Nice to Haves

• Experience standing up network operations for a new market or new provider network
• Familiarity with network adequacy requirements or CMS/state reporting standards
• Experience with SQL, Excel, or BI tools (e.g., Tableau, Looker, Power BI)
• Background at a small or fast-growing health plan where you had to build as you went
• Project or program management experience

Benefits

• Alternative medicine coverage
• Flexible PTO
• Up to 16 weeks paid parental leave
• Paid holidays
• A 401k program
• Transportation perks
• Education reimbursement
• 2 days of paid paw-ternity leave