Behavioral Health Network, Senior Analyst

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Position Summary

The Senior Analyst, Behavioral Health Network is responsible for supporting the development, maintenance, and optimization of the Behavioral Health provider network, with a primary focus on Applied Behavior Analysis (ABA) providers and related autism services. This role serves as a key liaison between network management, provider organizations, Provider Data Services, credentialing, and other internal business partners to ensure network adequacy, provider satisfaction, and operational excellence.

The Network Analyst evaluates the BH provider network, analyzes market and provider data, identifies opportunities for network improvement, and supports strategic initiatives that enhance access to high-quality behavioral health services. This individual will also partner closely with providers and internal stakeholders to resolve network-related issues, support credentialing, and contracting activities, and ensure compliance with organizational and regulatory requirements.

Job Duties Include (but Are Not Limited To)

Network Development & Provider Relations

• Support recruitment, onboarding, and retention of ABA and behavioral health providers to meet network adequacy and accessibility goals.
• Serve as a primary point of contact for provider organizations and practitioners regarding network participation, operational concerns, and escalated service issues.
• Build and maintain strong provider relationships to support engagement and network stability.

Network Analysis & Reporting

• Analyze provider network data to identify trends, gaps in coverage, capacity constraints, and opportunities for network expansion.
• Monitor network adequacy standards and access-to-care metrics to ensure compliance with regulatory and business requirements.
• Develop and present reports, dashboards, and recommendations using tools such as Excel, Power BI, and other reporting platforms.
• Assess provider utilization, performance, and participation patterns to support strategic decision-making.

Provider Operations Support

• Investigate and resolve provider inquiries related to credentialing, demographic maintenance, and network participation.
• Partner with operations teams to address provider data accuracy and resolve system or operational issues impacting providers.
• Coordinate provider demographic updates and ensure accurate provider information across all systems and directories.
• Support implementation of new processes, programs, and operational enhancements affecting provider networks.

Contracting & Credentialing Support

• Collaborate with contracting teams to facilitate provider recruitment efforts, contract execution, amendments, and renewals.
• Support credentialing and recredentialing activities to ensure providers meet organizational and regulatory standards.
• Track provider onboarding activities and monitor completion of required documentation.

Business Analysis & Process Improvement

• Gather, analyze, and document business requirements related to provider network management initiatives.
• Evaluate current-state workflows and identify opportunities to improve efficiency, provider experience, and operational performance.
• Participate in cross-functional projects supporting behavioral health growth initiatives and network transformation efforts.
• Recommend process enhancements and system improvements that improve provider and member outcomes.

Regulatory Compliance & Quality Support

• Ensure provider network activities align with state, federal, accreditation, and organizational requirements.
• Support audits, regulatory requests, and network reporting obligations.
• Assist with quality improvement initiatives designed to improve provider performance, network effectiveness, and member access to care.

Required Qualifications

• 3-5 years of experience in healthcare network management, provider relations, provider operations, behavioral health administration, or related healthcare roles.
• Experience working with provider networks, credentialing, contracting, claims, or provider service operations.
• Strong analytical and problem-solving skills with the ability to interpret data and identify actionable insights.
• Experience managing multiple priorities and collaborating across a matrixed organization.
• Excellent verbal and written communication skills, including the ability to present data driven insights to leadership
• Proficiency in Microsoft Office applications, particularly Excel, and Power BI.
• Exceptional organizational skills and attention to detail.

Preferred Qualifications

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