The job profile for this position is Network Operations Lead Analyst, which is a Band 3 Senior Contributor Career Track Role.

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WORK LOCATION: Houston, TX

The North Texas Network Contracting team is looking for a detail-oriented and organized Network Data Coordinator to support the preparation and submission of health insurance network filings to state Departments of Insurance (DOIs) and the Centers for Medicare & Medicaid Services (CMS). This position plays a key role in ensuring the accuracy, completeness, and timeliness of provider network data required for regulatory approval and compliance.

Primary Responsibilities:

• Project management coordinating with multiple matrix partners and compiling, formatting, and validating provider network data for DOI and CMS timely submissions.

• Managing and organizing multiple large files by using Microsoft Access and Excel applications to validate and consolidate data from multiple files and formatting to the correct TDI specific template

• Perform external outreach and research to validate provider network data.

• Collaborate with internal teams (e.g., provider relations, credentialing, IT) to ensure current and complete data.

• Maintain tracking logs of provider recruitment.

• Review regulatory guidelines and filing templates to ensure compliance with applicable state and federal requirements.

• Perform quality checks on data files to verify accuracy, including identifying missing or inconsistent information.

• Support updates to internal filing databases and document repositories.

• Assist with process documentation and filing procedures.

Qualifications:

• Bachelor’s degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related

• 2+ years of Healthcare Insurance experience required, preferably within Provider Network, Provider Contracting, Provider Data

• Knowledge of DOI or CMS guidelines, preferred

• Project management experience, preferred

• Proficient with MS Excel, required

• Proficient with MS Access, a plus

• Demonstrate critical thinking and research skills.

• Ability to work independently, manage multiple deadlines and tasks, and strong attention to details

• Customer centric and interpersonal and communication skills are required.

• Demonstrates an ability to maneuver effectively in a changing environment.

• Local Market knowledge recommended

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.