Alliance Health in
Business Analyst-PN Operations (Full Time, Remote, North Carolina Based)
Alliance Health in, Morrisville, North Carolina, United States, 27560
Business Analyst-PN Operations (Full Time, Remote, North Carolina Based)
Posted on January 9, 2026
Location Remote
This Business Analyst-PN position will support reporting through identified databases for analyzing and producing provider network adequacy reporting, ensuring reports are timely, complete, and accurate to ensure compliance with network adequacy standards. This position will be responsible for analyzing data, identifying parameters and generating reports pertaining to network provider management and quality assurance, and support the additional report generation process for Provider Network initiatives and deliverables containing data needed from multiple resources or workstreams, including the ability to pull ad hoc reports from the Data Warehouse and external databases. The Analyst also conducts quality assurance testing related to IT reporting, data integrity, and analyses and serves as a liaison between Provider Network, Business Owners, and IT to coordinate data collection and report development efforts.
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties Analyze Business Requirements and Translate into Specifications
Analyze business activities to identify report and data requirements
Translate business requirements into business report documentation specifications
Conduct research through business specifications, contracts, journals, web resources, and in-person interviews to determine data requirements for projects
Lead efforts to clarify any specifications that are unclear
Develop Reports and Data Visualization Solutions
Perform data acquisition, analysis, and evaluation via advanced SQL queries and stored procedures, MicroStrategy, and other data management tools
Design solutions using BI concepts including dynamic and parameter driven reporting, dashboards, and alerts
Using thorough knowledge of available data, design products that merge data from various sources including EDI files, HIE, State data, transactional system, and data warehouse
Provide support as required to ensure the accuracy of developed reports and metrics for both external and internal users
Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications
Assist the Provider Network Department with any data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of state-required reports
Perform network adequacy reporting using Quest Analytics platform as needed
Develop and Document Processes
Engineer efficient processes for gathering statistical data, identifying complex trends, and translating insights into actionable recommendations
Collaborate with Other Departments to Enhance Operations
Work closely with IT Department to enhance operations and automation of reports and processes and perform quality assurance testing of systems and products
Actively participate in Data Governance committee and Business Analyst teams as needed
Attend IT/Reporting trainings or meetings that are relevant to the above responsibilities
Manage Testing and End User Support
Manage the User Acceptance Testing process and feedback
Provide End User support on solutions and data interpretation
Conduct peer reviews and test solutions for functionality and data accuracy
Education & Experience Associates degree in data science, information science, human services/healthcare, or related field and four (4) years of experience with quantitative and qualitative data collection and analysis methods, research design, program evaluation, and testing of applications or reports and dashboards.
OR
Bachelor’s degree in computer science, information science, human services/healthcare, or related field and two (2) years of experience with quantitative and qualitative data collection and analysis methods, research design, program evaluation, and testing of applications or reports and dashboards.
Technical Experience and Skills Required
Advanced experience with Microsoft Excel (pivot tables, formulas (vlookup, xlookup, match, etc.)
Intermediate-advanced SQL experience (manipulating data and queries) and relational databases
Proficiency in PowerBI and other data visualization tools
Experience in healthcare data analytics utilizing Medicaid claims and encounter data preferred.
Knowledge, Skills, & Abilities
Knowledge of data integration (validation and cleaning)
Knowledge of complex data and structures
Knowledge of the healthcare industry
Advanced knowledge of relational database systems, statistical analysis, data mining, predictive analytics, performance measurement, and other data science concepts
Knowledge of data visualization principles and strategies
Skilled in various software applications and informatics systems (Excel, Access, SAS, SPSS, Tableau, Power BI, Qualtrix, EPIC EMR system and SQL language/processes)
Excellent interpersonal (verbal and written) communication skills are required to support working in project environments that includes internal, external and customer teams
Strong analytical, conceptual, and problem-solving skills
Ability to work with large-volume clinical and financial data and transactions
Ability to manage projects and deliver within specified timeframes
Ability to manage multiple priorities and adjust quickly to changing priorities
Salary Range $68,227 - $88,695/Annual
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
Benefits An excellent fringe benefit package accompanies the salary, which includes:
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Location Remote
This Business Analyst-PN position will support reporting through identified databases for analyzing and producing provider network adequacy reporting, ensuring reports are timely, complete, and accurate to ensure compliance with network adequacy standards. This position will be responsible for analyzing data, identifying parameters and generating reports pertaining to network provider management and quality assurance, and support the additional report generation process for Provider Network initiatives and deliverables containing data needed from multiple resources or workstreams, including the ability to pull ad hoc reports from the Data Warehouse and external databases. The Analyst also conducts quality assurance testing related to IT reporting, data integrity, and analyses and serves as a liaison between Provider Network, Business Owners, and IT to coordinate data collection and report development efforts.
This position will allow the successful candidate to work a schedule that will be primarily remote. While there is no expectation of being in the office routinely, they will be required to come into the Alliance Office for business and team meetings as needed.
Responsibilities & Duties Analyze Business Requirements and Translate into Specifications
Analyze business activities to identify report and data requirements
Translate business requirements into business report documentation specifications
Conduct research through business specifications, contracts, journals, web resources, and in-person interviews to determine data requirements for projects
Lead efforts to clarify any specifications that are unclear
Develop Reports and Data Visualization Solutions
Perform data acquisition, analysis, and evaluation via advanced SQL queries and stored procedures, MicroStrategy, and other data management tools
Design solutions using BI concepts including dynamic and parameter driven reporting, dashboards, and alerts
Using thorough knowledge of available data, design products that merge data from various sources including EDI files, HIE, State data, transactional system, and data warehouse
Provide support as required to ensure the accuracy of developed reports and metrics for both external and internal users
Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications
Assist the Provider Network Department with any data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of state-required reports
Perform network adequacy reporting using Quest Analytics platform as needed
Develop and Document Processes
Engineer efficient processes for gathering statistical data, identifying complex trends, and translating insights into actionable recommendations
Collaborate with Other Departments to Enhance Operations
Work closely with IT Department to enhance operations and automation of reports and processes and perform quality assurance testing of systems and products
Actively participate in Data Governance committee and Business Analyst teams as needed
Attend IT/Reporting trainings or meetings that are relevant to the above responsibilities
Manage Testing and End User Support
Manage the User Acceptance Testing process and feedback
Provide End User support on solutions and data interpretation
Conduct peer reviews and test solutions for functionality and data accuracy
Education & Experience Associates degree in data science, information science, human services/healthcare, or related field and four (4) years of experience with quantitative and qualitative data collection and analysis methods, research design, program evaluation, and testing of applications or reports and dashboards.
OR
Bachelor’s degree in computer science, information science, human services/healthcare, or related field and two (2) years of experience with quantitative and qualitative data collection and analysis methods, research design, program evaluation, and testing of applications or reports and dashboards.
Technical Experience and Skills Required
Advanced experience with Microsoft Excel (pivot tables, formulas (vlookup, xlookup, match, etc.)
Intermediate-advanced SQL experience (manipulating data and queries) and relational databases
Proficiency in PowerBI and other data visualization tools
Experience in healthcare data analytics utilizing Medicaid claims and encounter data preferred.
Knowledge, Skills, & Abilities
Knowledge of data integration (validation and cleaning)
Knowledge of complex data and structures
Knowledge of the healthcare industry
Advanced knowledge of relational database systems, statistical analysis, data mining, predictive analytics, performance measurement, and other data science concepts
Knowledge of data visualization principles and strategies
Skilled in various software applications and informatics systems (Excel, Access, SAS, SPSS, Tableau, Power BI, Qualtrix, EPIC EMR system and SQL language/processes)
Excellent interpersonal (verbal and written) communication skills are required to support working in project environments that includes internal, external and customer teams
Strong analytical, conceptual, and problem-solving skills
Ability to work with large-volume clinical and financial data and transactions
Ability to manage projects and deliver within specified timeframes
Ability to manage multiple priorities and adjust quickly to changing priorities
Salary Range $68,227 - $88,695/Annual
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
Benefits An excellent fringe benefit package accompanies the salary, which includes:
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr