• This position is responsible for provider network performance analysis, development of provider monitoring of network data elements and standards to ensure network capacity, to include Behavioral Health provider access. • The role partners with cross functional teams to deliver insights that support network strategy. • Leads network performance analytics, including KPI trend analysis, network access and adequacy analysis, and identification of network gaps and improvement opportunities. • Develops and maintains model to assess and monitor Community Health Plan network performance and development strategies, ensuring alignment with organizational goals. • Collaborates with subject matter experts to track key performance indicators, identify trends and recommend interventions for network improvement. • Analyzes demographic and utilization data, providing insights to support regulatory filings and identify opportunities for network expansion. • Monitor Medicare network to identify access and gap issues and provide analysis for resolution in support of monthly reporting and annual CMS network and exception process submissions. • Maintains plan HSD tables and monthly Medicare reporting according to CMS standards, researching data discrepancies to correct identified issues when applicable. • Responsible for submission of Provider Network Form A Certification letter to the OIC, to include monitoring files being available for auto-submission by IT. • Collaborate on contracting provider data gaps to ensure reliability, completeness, and consistency. • Analyzes Behavioral Health network and outreach in support of Quarterly HCA Provider Network Submission, to include regular review of geographic/service coverage of Behavioral Health Agencies. • Supports Behavioral Health AADR process through data analysis and reporting, in alignment with contract department review. • Develops Mental Health Assessment utilizing claims information and compilation of data sets to support analysis.

• Deliver designs, specifications and work plans that meet or exceed established business and technical design requirements, approved architecture and technical standards, quality measures, service levels, and continuous improvement goals • Contribute to the creation and maintenance of service catalog items specific to infrastructure solutions design services including, but not limited to, service ownership, service definition, SLA negotiation, SLA performance and SLA reporting. • Provide "level 4" technical support and consulting services to Operations for critical sustainment issues. • Provide guidance and advice on leading practices, industry standards and conventions, and frameworks and methods • Participate in root cause analysis of high priority (P1 & P2) operational failures; incorporate learnings into solution designs to prevent future failures. • Support the Customer Technical Design Authority: Participate in Technical Assurance Review meetings – providing review feedback, recommendations, required actions, and approvals. • Ensure solution designs are compliant with target architectures and standards and meet stated functional and non-functional requirements • Build, review and maintain technical standards in conjunction with Operations and Enterprise Architecture. • Evaluate technical deviations from current standards, present technical deviation recommendations to stakeholders, and provide final approval for all technical deviations. • Research select and deploy the best applicable technology for systems development/maintenance and production Operations • Identify impacts to existing infrastructure capacity • Evaluate non-functional characteristics including performance, availability, scalability, resilience • Review environments for production and non-production (development, test, QA, training) and provide recommendations for on-going improvement and sustainability, • Work with Operations to ensure delivered solutions are supportable, serviceable and meet business requirements & SLA’s. • Identify software licensing impacts (where relevant) • Ensure changes to existing services are made in a controlled manner: i.e. include impact assessment in consultation with the business and technical owners, regression testing of any impacted systems, and planned migration into production • As required, Install, configure, and troubleshoot infrastructure, applications and software. • Implement and document system administration procedures for Operations coverage and end users. • Determine all configuration procedures for development team. • Manage and maintain system configurations • Maintain configurations and optimize system designs. • Use and improve on system monitoring tools such as 3rd party commercial and custom built. • Design and architect new systems and support tools solutions.

• Design, plan, and implement secure local area networks (LANs), wide area networks (WANs), and wireless environments. • Configure and maintain network infrastructure, including routers, switches, firewalls, load balancers, and VPNs. • Monitor network performance, analyze bandwidth usage, and proactively troubleshoot connectivity, latency, and availability issues. • Support incident management and provide Level 2/3 technical support for network and infrastructure environments. • Implement and manage security controls, including firewall configurations, intrusion detection/prevention systems (IDS/IPS), and endpoint protection solutions. • Conduct routine security audits and ensure compliance with organizational standards and cybersecurity best practices. • Develop, document, and maintain disaster recovery and backup plans to ensure business continuity. • Maintain accurate technical documentation, including network diagrams, configurations, and operational procedures. • Collaborate with global IT and infrastructure teams to improve network architecture, scalability, and reliability. • Support cloud networking initiatives and hybrid infrastructure environments (AWS, Azure). • Ensure compliance with internal policies, procedures, and network security standards. • Act as backup support for the network team when needed, ensuring operational continuity.

• Lead efforts in designing and implementing a global network infrastructure. • Play a key role in developing operational standards while addressing complex issues in routing and data center fabrics. • Ensure scalability, reliability, and security across a multi-vendor environment. • Collaborate with cross-functional teams to define data models and functional requirements. • Configure BGP and troubleshooting for complex peering relationships. • Implement new hardware platforms and network features within the automation framework. • Act as a subject matter expert and final point of escalation for production network issues. • Create and maintain clear documentation & procedures.