Business Operations Analyst

About this role

Great Lakes Integrated Network, IPA is looking for a full-time Business Operations Analyst to join the team in Buffalo, New York!

The Business Operations Analyst is responsible for the oversight, collection, maintenance, and validation of GLIN provider network data and for providing reports and analyses for internal and external business partners

Scope of duties includes but not limited to; data management; data validation; development, deployment and analysis of reports, supporting both Payer & Provider Contracting and Finance & Analytics teams.

The position requires that the individual be highly organized, detail oriented, have strong Excel skills, & some experience with query languages such as SQL. The position requires collaboration with other GLIN departments and external healthcare partners such as physician practices, hospital systems, and health insurance companies, problem solving/decision making skills, and strong business acumen.

Essential Functions:

• Consistently observes safety and security procedures. Reports potentially unsafe conditions to appropriate personnel.
• Manage, maintain, and validate GLIN’s provider network roster, including physicians, mid-levels, ancillary providers, and facilities, ensuring accuracy, integrity, and timely updates; perform routine provider data updates
• Review and reconcile health plan and health system rosters submitted to GLIN IPA, updating records as necessary to maintain network accuracy
• Collaborate with provider system partners to collect, manage, verify, and integrate provider data into the GLIN system to ensure GLIN provider data accuracy
• Prepare and deliver monthly provider roster reports for payers, as well as ad-hoc reports upon request, using SQL and as needed.
• Support provider enrollment and compliance for government programs, including: provider/practice communications, requirements tracking, deadline management, preparation of annual and monthly submissions, and production of ag...