SCOPE OF ROLE

The Network team is responsible for building, optimizing, and transforming Care Partner’s networks into market leading integrated delivery systems. The Business Analyst collaborates with other teams at Bright, including Care Partner and business development, market leadership, health optimization, distribution, marketing, operations, analytics, legal, and finance. Represents Bright to external partners, including identifying and developing key new participants of Bright’s insurance networks.

ROLE RESPONSIBILITIES

• The Business Analyst - Network Strategy description is intended to point out major responsibilities within the role, but it is not limited to these items.
• Support advancement of network design strategy, overseeing development of proprietary Bright standards, alignment to regulatory requirements, and evaluation of development needs across both active and new markets.
• Build proprietary Bright standards for quality and access that encompasses individual, practice, and overall downstream ecosystem performance for professional, facility, and ancillary providers.
• Own development plan construction and oversight for active and new markets, including but not limited to initial diligence, prioritization, re-prioritization based on network development progress.
• Identify, develop and implement best practices for network growth and optimization.
• Facilitate internal and external stakeholder discussions to drive decision making and constant progress towards the goal.
• Evaluate existing and potential Care Partner networks against regulatory standards to inform market viability.
• Contribute to the development of best practices for reimbursement level/structure as well as provider contract negotiation/execution in new and existing Bright markets.
• Other duties and/or responsibilities as assigned.
• This position does not have supervisory responsibilities.
• The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Some travel may be required.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• Bachelor’s degree in a related field required
• Two (2) or more years of experience, ideally at a consulting firm, investment bank, healthcare provider, payer, or vendor

PROFESSIONAL COMPETENCIES

• Strong creative thinking skills and ability to analyze problems requiring multiple and/or unconventional approaches
• Desire and ability to quickly move between highly detailed analytics and big picture strategic thinking
• Excellent multitasking and prioritization skills with a proven ability to manage multiple projects in parallel to completion
• Bias toward action; sense of urgency, self-initiative, and ownership of work
• Superb written and verbal communication skills
• Ability to organize and collaborate on internal and external-facing projects across cross-functional teams