Full-Time

Senior Healthcare Network Analytics Data Analyst

Healthcare Network Analytics

Posted on 8/8/2025

Quest Analytics

Quest Analytics

201-500 employees

Software for health network adequacy optimization

No salary listed

No H1B Sponsorship

Overland Park, KS, USA

Remote

Preferred work locations are within one of the following states: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois (outside of Chicago proper), Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin, or Wyoming.

Category
Data & Analytics (1)
Required Skills
Power BI
Python
SQL
Databricks
Data Analysis
Excel/Numbers/Sheets
Requirements
  • Minimum of 5 years of experience in data analysis, with a strong preference for healthcare-related work
  • Demonstrated experience working with large datasets, including healthcare claims data
  • Proficiency in Excel
  • Proficiency in programming using SQL or Python
  • Strong understanding of technology, data manipulation tools, and data governance best practices
  • Ability to ask thoughtful, logical questions, pursue root cause analysis, and apply critical thinking
  • Strong analytical curiosity and a desire to understand the 'why' behind the data
  • Proven ability to translate technical findings into clear, actionable business insights
  • Excellent problem-solving, listening, troubleshooting, and communication skills (both written and verbal)
  • Ability to work both independently and as part of a cross-functional team
  • Passion for contributing in a fast-paced, growth-oriented, and deadline-driven environment
  • Strong understanding of healthcare data and industry regulations
Responsibilities
  • Acquire and ingest relevant data sets, including claims data and provider network files
  • Implement robust data cleansing procedures to ensure data accuracy and consistency
  • Enhance datasets by integrating additional relevant information
  • Analyze complex datasets using a variety of tools, with a particular emphasis on SQL, Excel, and Databricks
  • Apply critical thinking and analytical curiosity to investigate data patterns, ask thoughtful and logical questions, explore root causes, and deliver context-driven insights that enhance understanding of business and can inform strategic decisions related to network design
  • Develop insightful and visually compelling reports using Power BI
  • Effectively communicate findings to internal teams and external stakeholders
  • Collaborate with cross-functional teams to ensure alignment of data analysis with business objectives
  • Stay abreast of industry trends, regulations, and technological advancements
  • Continuously explore novel approaches and methodologies to address healthcare network challenges
  • Contribute to the development of cutting-edge solutions that differentiate our company in the market
Desired Qualifications
  • Experience with Databricks and Spark
  • Understanding of provider networks, health plan operations, or network adequacy standards
  • Experience with Power BI, data visualization best practices, and dashboard optimization

Quest Analytics provides software solutions and consulting services focused on healthcare provider network adequacy and optimization. Its core offerings are decision applications that help clients model networks, evaluate changes (such as adding or removing providers), identify gaps, and visualize network adequacy. Clients access these tools via subscriptions and also receive strategy advice through consulting, with additional value from events like Quest Labs that teach tool usage and enable networking. The company stands out through its emphasis on regulatory compliance and network optimization for US health plans, providers, CMS, and state agencies, backed by a track record with major government and healthcare entities. The primary goal is to help customers meet regulatory requirements and improve provider networks to deliver better patient care.

Company Size

201-500

Company Stage

N/A

Total Funding

$530K

Headquarters

Appleton, Wisconsin

Founded

2003

Simplify Jobs

Simplify's Take

What believers are saying

  • UFS Technology acquisition in July 2025 injects capital for AI-driven network optimization.
  • Chris Lance as CPO drives AI innovation; Mike Cavan as CCO boosts sales since April 2026.
  • Federal contract award on August 24, 2025, solidifies CMS and regulator revenue streams.

What critics are saying

  • Post-July 2025 UFS acquisition integration diverts focus, eroding edge against Edifecs within 12 months.
  • Arcadia partnership exposes QES to data disruptions, driving client defection to MultiPlan in 18 months.
  • AI rivals like HealthSnap capture 20% of 400 health plan clients with cheaper tools by 2028.

What makes Quest Analytics unique

  • Quest Analytics' QES platform processes 150 billion provider records monthly for network adequacy.
  • Trusted by CMS, 30+ state agencies, and all eight largest health plans for compliance.
  • Provider Claims Insights integrates claims data with third-party metrics like Arcadia for performance.

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Benefits

Competitive salary

Success-sharing bonus

Company matching 401K and HSA Contribution

FSA, HSA and commuter benefits

100% company-paid high-deductible health plan, dental and vision for employee

PPO Plan option offered

Wellness benefits

Casual and fun work environment

Free gourmet coffee, drinks and snacks

Social and community outreach programs

Flexible work arrangements and telecommuting

Professional development and training

Monthly culture-building activities

Company News

PR Newswire
Jun 16th, 2025
Quest Analytics Announces Strategic Integration Partnership With Arcadia

On showcase at AHIP 2025: The integrated solution delivers advanced provider performance intelligence within Quest Analytics' flagship network management technology platform.LAS VEGAS, June 16, 2025 /PRNewswire/ -- Quest Analytics®, the leader in provider network design and management solutions, announced today a strategic data integration partnership with Arcadia, a leading healthcare data platform and supplier of provider performance insights. This collaboration gives Quest Analytics clients enhanced physician-level intelligence within a single platform to build high-quality, competitive networks. Quest Enterprise Services® (QES®), Quest Analytics' data-driven SaaS platform, enables clients to combine proprietary and third-party data for smarter, clinically informed network decisions. Its Provider Claims Insights (PCI) solution delivers metrics on claims activity, procedures, conditions treated, efficiency, effectiveness, and payer mix — key data for evaluating provider quality and cost

PR Newswire
Apr 9th, 2024
Quest Analytics(R) Announces Strategic Integration Partnership With Motive Practicing Wisely

OVERLAND PARK, Kan., April 9, 2024 /PRNewswire/ -- Quest Analytics, LLC, the leader in provider network compliance and performance solutions, announced today a new integration partnership with Motive Practicing Wisely, the leading provider of evidence-based measures for the evaluation of physician performance, to provide Quest Analytics clients deeper physician-specific information available within a singular platform to build high-quality, high-performing provider networks. Motive Practicing Wisely Solutions logo. Quest Enterprise Services™ (QES™) is Quest Analytics dynamic, data-driven SaaS platform for provider network management, design and performance. Clients benefit from the ability to access Quest Analytics' proprietary data, as well as add third-party content, enabling them to make powerful, data-driven decisions. With Provider Claims Insights, a QES platform solution, clients leverage data on claims activity, top procedures and conditions treated, efficiency, effectiveness and payer mix, providing important metrics to evaluate provider activity, quality and cost. By integrating additional data insights, such as the Motive Practicing Wisely appropriateness measures into QES, organizations get a more holistic view of physician quality which in turn helps them build more efficient networks, emphasizing quality and care appropriateness

PR Newswire
Oct 17th, 2023
Quest Analytics™ Strengthens Leadership Team With Two Key Appointments

Scott Westover appointed Chief Network Solutions Officer, a newly created, expanded role, assuming responsibility for the Network Performance TeamSubhash Seelam joins as SVP, Applied Network Analytics from OptumOVERLAND PARK, Kan., Oct. 17, 2023 /PRNewswire/ -- Quest Analytics, the leader in provider network management solutions and services, today announced the appointment of Scott Westover as Chief Network Solutions Officer, Quest Analytics, continuing his leadership in the regulatory arena while adding oversight of the Network Performance team. In addition, the company announced that Subhash Seelam has joined as Senior Vice President, Applied Network Analytics, reporting to Scott and supporting the Network Performance team.Scott Westover previously served as Quest Analytics' SVP of Network and Regulatory Strategy, where he worked directly with state and federal regulators to navigate rapidly changing market and policy needs. Prior to joining Quest Analytics, Scott served as market president for AmeriHealth Caritas New Hampshire, a leading Medicaid Care Management Organization. His prior experience also includes working at Anthem, Inc. as a vice president of provider joint ventures and national accounts, senior roles within leading healthcare providers, and driving national health strategy for multiple Fortune 50 corporations.Subhash Seelam, a seasoned leader in healthcare analytics, brings a deep understanding of data applications, analytical experience, and the development of analytic intellectual property that will greatly enhance the Network Performance team

Blue Cross and Blue Shield of North Carolina
Sep 11th, 2023
Reminder for Providers to Attest Every 90 Days to Confirm Accuracy of Directory Information

As posted earlier on Provider News, Blue Cross and Blue Shield of North Carolina (Blue Cross NC ) has partnered with Quest Analytics through their BetterDoctor solution for Blue Cross NC facility providers and non-delegated individual practitioners to review and attest to the accuracy of their directory information.

PR Newswire
Jun 14th, 2023
Quest Analytics™ Launches Provider Claims Insights Integrated Into Quest Enterprise Services™ (Qes™)

New offering provides health plans with critical provider insights to improve network composition and performancePORTLAND, Ore., June 14, 2023 /PRNewswire/ -- Quest Analytics, the leader in provider network management solutions and services, today announced the launch of Provider Claims Insights. This new offering adds provider performance measures within the Quest Enterprise Services (QES) platform to help health plans improve provider selection and overall network performance. Provider Claims Insights gives network teams the tools and analytics to identify the right providers for inclusion so that the resulting networks better meet business requirements and member needs while also reducing administrative costs."Provider Claims Insights was built with our clients' direct input to improve their understanding of each provider's practice – their mix of business and relative cost and quality," Steve Levin, CEO, Quest Analytics. "This type of more detailed insight allows superior network composition improving member satisfaction while maintaining critical access and adequacy."QES Provider Claims Insights, based on a curated national claim dataset, helps clients:Avoid ghost providers and ensure true access for members.View a providers' clinical activity by line of business relative to other providers in their specialty/geography.Understand a providers payer mix by line of business, providing insight into a provider's relationship with all health plans in a given market.Gain insight into relative performance among physicians through cost and quality metrics.Make more informed gap-filling decisions by knowing each provider's top procedures and conditions.Reduce costs associated with contracting and managing non-productive providers.To see how Quest Enterprise Services and Provider Claims Insights can transform your provider network management strategy, visit the Quest Analytics booth #1717 at AHIP 2023 in Portland, Oregon. Additionally, Quest Analytics' Chairman, Roger Holstein, will lead a session on June 14, 2023, from 11 a.m. - 11:45 a.m

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