Women's Health Data Analyst - Healthy Start

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)

Job Summary:

The Women's Health Data Analyst Healthy Start for the Women's Health Service Line is a pivotal role within Wellstar, responsible for providing data-driven insights to support strategic decision-making and operational excellence in women's healthcare. Reporting directly to the AVP Women's Health Service Line, this position requires a blend of analytical prowess, technical acumen, and stakeholder collaboration to drive impactful outcomes. Additionally, this Analyst will compile, analyze, and interpret data to ensure Healthy Start program and other state funded program compliance with contract requirements, while identifying trends and addressing issues to optimize program efficiency. This role will also work with the Program Director to create reports to share across the consortium, Wellstar Health System and for on-going grant reporting requirements and documents. Impact on the Organization: The Business Intelligence Analyst plays a critical role in driving positive outcomes for Wellstar and its patients. By providing actionable insights and tools for leaders, this role contributes to: Improved health outcomes for women through informed decision-making and targeted interventions. Decreased utilization of unnecessary and high-cost healthcare services through optimized resource allocation and efficiency improvements. Higher shared savings in value-based care contracts by enabling proactive management of patient populations and risk stratification.

Core Responsibilities and Essential Functions:

HRSA Grant Primary Duties: Completion of all required training needed to analyze, aggregate, monitor or report data collected through the Healthy Start Data Collection Tools (i.e., the Demographic, Background, Prenatal, and Parent/Child forms) and standardized client-level data elements specific to the HRSA Wellstar Healthy Start Program. Monthly and quarterly reporting of the collected data on to the Program Director and Division Healthy Start and Perinatal Services (DHSPS) to remain compliant with the Healthy Start Monitoring and Evaluation Data System (HSMED). Collection and creation of programmatic reports related to all Healthy Start grant goals and deliverables. Completion of Monthly and quarterly reports for Group-Based Health Education and Case Management/Care Coordination participants using the data collection tools and screening procedure/implementation guidance/form administration process provided by DHSPS. Generate reports from the Healthy Start case management system as required for contractual compliance; monthly, quarterly, annually, and ad hoc Healthy Start Coalition Earnings and Medicaid Claims Extract and gather necessary data and claims information from the Healthy Start Billing System and database for analysis and preparation of provider payment statements Reconcile claim earnings to the funders remittance advice Prepare and submit all payment statements to providers Track all payments, earnings, and contract cap balances for each provider, and provide summary reports as needed by leadership Provide technical assistance and claim analyses as needed to our providers Prepare data files for the process of resetting provider contract caps twice yearly Claims Quality Assurance Audit Research paid claims in the Healthy Start billing system and in the State FMMIS, to ensure payment was appropriate Provide technical assistance and recommendations to providers by identifying claims that were incorrectly submitted or not submitted, to maximize revenue Document claims research activities, report claims resolution results and report on current practices and recommendations for improved claims processing and resolution practices for HSMN and Healthy Start Coalitions Prepare quarterly audit reports for Leadership and the Executive Board Quality Assurance (QA) and Continuous Quality Improvement (CQI) efforts Research and analyze Medicaid claims and Healthy Start services, to determine statewide trends and potential missing or incomplete data Develop a statewide report card on critical metrics Upholds and updates policies and procedure to adhere compliance with federal guidelines Facilitates monitoring of local implementing agencies to ensure programmatic compliance Produce semi-annual demographics, service utilization, and performance measurement reports for each local implementing agency by inputting FL