Population Health Data Senior Analyst

Department:

13585 Value Enablement Services - Clinical Insights & Operations: Data Strategy

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Job Profile Summary  

This individual will be responsible for analyzing complex clinical and financial (claims-based) scenarios to support informed decision making. This person works relatively independently with limited direction and supervision. Responsible for gathering and interpreting claims, clinical and administrative data to build effective financial models, make reasonable assumptions, and reach appropriate conclusions. Serves as a resource and consultant across the system and sites to design and produce relevant information to inform strategies essential to the success of population health initiatives. 

 

Major Responsibilities: 

• Prepares analyses and develops routine and special management reports and reporting tools to support ongoing PHO, CIN, RBO operations, finance, care management, clinical risk adjustment, and department management decision making. Works with administrative and physician leadership (site and system). 

• Analyze the total cost of care and payer contract performance using any and all data systems available. Makes specific recommendations to management and physician leadership (site and system) based on the results of these analyses. Analyze clinical, financial, and quality performance by site, physician, and contract. Proactively identify areas for analyses and share information with physician and administrative leadership. 

• Conduct and present analyses that drive improved delivery of value-based care. 

• Works with IT partners to diagnose, correct, and validate any issues with the data populating business intelligence tools. 

• Creates efficient presentations of quantitative and qualitative information by minimizing text and appropriately incorporating visual displays. For executive level reports, craft a concise written summary of key report conclusions and clearly translate analyses and visualizations into practical and actionable recommendations. Summarizes analytical findings in ways that business leaders and front-line clinicians can quickly understand and use to drive performance improvement. 

• Assumes responsibility for maintaining current knowledge of government regulations, policies, and trends that affect the health care industry, and independently conduct online research to access documents, pertinent regulations, or to access publicly available datasets. 

 

Licensure, Registration, and/or Certification Required: 

• None Required. 

 

Education Required: 

• Bachelor's Degree in Accounting, Business, Health Care Administration, Computer Science or related field.