Business Analyst

Department: ApolloCare TX - Provider Relations

Employment Type: Full Time

Location: 19500 HWY 249, Suite 570 Houston, TX 77070

Reporting To: Karen Holt

Compensation: $75,000.00 - $85,000.00 / hour

Description

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• Support Texas Market Provider Relations leadership by tracking provider issues, health plan escalations, operational initiatives, and market priorities.
• Develop and maintain reports, dashboards, and analytics related to provider performance, membership, claims, authorizations, quality, utilization, risk adjustment, and value-based care outcomes.
• Analyze provider and market data to identify trends, risks, gaps, and opportunities, and present actionable recommendations to leadership.
• Support health plan delegation activities, including provider roster validation, provider loading, configuration issues, claims and authorization routing concerns, and escalation management.
• Assist with ACO recruitment tracking, provider participation, performance reporting, and value-based care initiatives.
• Coordinate cross-functional projects, including market transitions, health plan implementations, provider engagement initiatives, delegation readiness activities, and operational improvement efforts.
• Prepare materials, reports, and summaries for provider meetings, Joint Operating Committees (JOCs), leadership meetings, board meetings, and executive presentations.
• Track project timelines, action items, deliverables, and follow-up activities to support successful market execution.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, Data Analytics, Public Health, or a related field preferred.
• Minimum of 3 years of experience in healthcare operations, provider relations, managed care, business analysis, data reporting, or project coordination.
• Strong proficiency in Microsoft Excel, including pivot tables, VLOOKUP/XLOOKUP, formulas, filtering, and data validation.
• Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities, deadlines, and stakeholders in a fast-paced environment.
• Ability to work independently while collaborating across cross-functional teams.

• Experience working with provider networks, IPAs, ACOs, MSOs, health plans, or value-based care organizations.
• Experience with EZCap, Monday.com, Clarity, Power BI, health plan portals, provider rosters, claims reporting, or healthcare analytics tools.
• Knowledge of Medicare Advantage, Medicaid, MSSP ACO, ACO REACH, delegated claims, delegated authorizations, credentialing, and provider configuration processes.
• Experience supporting executive reporting, provider issue management, market operations, or healthcare project initiatives.

• Enjoy working with data and turning insights into actionable business decisions.
• Have strong attention to detail and can identify discrepancies across multiple reports and systems.
• Thrive in a fast-paced environment while managing competing priorities and deadlines.
• Are highly organized with strong follow-through and accountability.
• Build strong relationships and communicate effectively with stakeholders across all levels of the organization.
• Have a provider-focused mindset and a passion for improvi