Junior Health Data Analyst

Works collaboratively across teams within GBMC to develop and maintain data collection, measurement tools, and databases to support data analysis in support of health improvement initiatives, value-based care programs, and other health outcome data monitoring requirements. Develop reports, dashboards, scorecards, and other analytic results as necessary to support activities related to accountable care, managed care, and other GBHA goals. Analyzes and generates reports on performance related to overall outcomes, utilization, risk adjusted total cost of care, population health, and care coordination. Support the analysis of data from multiple sources, primarily claims files associated with value-based contracts. Provide insight for informed decision-making and planning by identifying trends/patterns within complex data sets and visualizing and deploying the data to appropriately inform stakeholders. Manage the technical related aspects of health analytics to support GBHA’s operational needs regarding data analysis. Serves as subject matter expert to support the population health needs regarding claims data, value-based payer contracts, quality data and CRISP data. This analysis will assist in carrying out GBHA’s goals of improving the health and quality of care of the populations for which it is responsible, to improve their experience of care, and to reduce the per capita cost of their care.

Education 

Bachelor’s Degree Required, Masters in Business, Health Administration, Finance or other preferred.

Experience

6+ months of experience

Skills

• Data literacy (ability to read, write, and communicate data in context)
• Conceptual analytical and quantitative skills.
• Data collection, manipulation, and analysis skills.
• Comfort with working in a self-driven, start-up environment.
• Interest in and active pursuit of opportunities to learn and grow, and ability to handle multiple demands, shifting priorities, crises, and rapid change
• Knowledge of management, business planning, finance, and healthcare.
• Working knowledge of finance, accounting, financial models, healthcare data, market and competitive analysis techniques.     
• Skill in report testing, and supporting end users in report testing process
• Able to manage multiple tasks in an uncertain and fast-paced environment
• Excellent analytical and/or operational problem-solving skills; demonstrates ability to conduct and interpret quantitative/qualitative analyses and make recommendations for improvement/changes
• Knowledge of health insurance claims structure and analytics, including GPRO/HEDIS Quality measures, risk adjustment methodologies, efficiency of care and utilization metrics.
• Experience with large data sets, clinical quality measures, and claims analysis. Advanced skills in Excel and ease with data management (i.e. MS Access, SQL)
• Skill in oral and written communication and time management with ability to effectively present to and facilitate groups

Principal Duties and Responsibilities

• Works with claims data files and analytics tools to monitor aggregated and drilled down performance including risk adjusted efficiency and claims-based quality metrics
• Works with the clinical and financial teams to identify trends and patterns in these complex data sets, draws conclusions, develops graphical and narrative summaries utilizing charts, graphs and images to appropriately display the information for presentation to stakeholders
• Drives the design of financial and clinical outcomes reporting based on various sources including medical claims, disease registries, and electronic health records for population health activities, payer contracts, and GBMC employee health plan.
• Analyzes large amounts of clinical data and turns key findings into strategic recommendations for specific clinical areas.
• Supports implementation initiatives for population health performance solutions.
• Maintains current industry knowledge of healthcare financial, cost, reimbursement, market, regulatory and clinical trends, nationally and locally.

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy
• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be