Business Analyst-PN Operations Remote, North Carolina

Business Analyst-PN Operations (Full Time, Remote, North Carolina Based)

Posted on January 9, 2026

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 work streams, 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.

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, Micro Strategy, 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

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.

• 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 Power
  
  BI and other data visualization tools

Experience in healthcare data analytics utilizing Medicaid claims and encounter data preferred.

• 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,…