Requisition #: 5843
Location: Frisco, TX 75034
Category: Information Technology
Service Line: Support Center
>> We offer our team the best <<
- Medical, Dental and Vision Benefits
- Continued Education
- PTO Plan
- Retirement Planning
- Life Insurance
- Employee discounts
Position Summary: Under minimal supervision the Value Based Analyst gathers and analyzes clinical and financial data driving operational transformation, quality program compliance and improved care. You will be responsible for leveraging your expertise in healthcare analytics and business analysis to drive initiatives focused on enhancing value-based care strategies within the organization. This position involves extensive data collection and analysis from multiple sources to support performance improvement, operational objectives and to identify opportunities for better outcomes in value-based care programs. Focusing on financial data and applying statistical or financial models to aid organizational goals, this position will assist the value-based team in monitoring deadlines and deliverables as well as reporting progress to leadership and to the convening entity on value-based care programs. The role demands proficiency in database query design, development, maintenance, and enhancement, ensuring data accuracy and relevance. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Essential Duties:
- Manage and design the reporting environment, including identifying data sources and metadata.
- Work with health plans and other 3rd parties to collect and integrate relevant clinical and claims data into our warehouse.
- Collect, analyze, and act upon claims, surveys, financial, EMR and other available data to effectively manage care, including the measurement of specific outcome metrics and the impact of interventions.
- Utilize various statistical tools to detect, examine, and decode trends or patterns within datasets.
- Employ statistical techniques to scrutinize data and produce actionable business insights.
- Identify opportunities for better outcomes and enhanced performance in value-based care programs, focusing on financial data and statistical data to develop and improve organizational goals.
- Assist in development of effective price modeling and standard analysis that will assist management in making decisions which will be most advantageous for the enterprise, operationally and economically.
- Analyze trends and variances in detail over time and against national and local benchmarks.
- Create financial models and forecasts that provide insight on mitigating potential losses and maximizing and optimizing financial performance under VBC contracts.
- Identifies and researches opportunities for alternate pricing models.
- Make recommendations and provide alternatives with regards to various measure workflows, education, reporting and support initiatives
- Evaluates VBC risk arrangements, incentive programs and distribution, incentive funds flow, calculating and modeling projected financial risk performance (such as risk corridor scenarios, feasibility, and scenario analyses)
- Prepare reports and presentations to communicate the insights and findings from the data to stakeholders.
- Summarizes analytical findings in ways that business leaders and front-line clinicians can quickly understand and use to drive performance improvement.
- For executive level reports, craft a concise written summary of key report conclusions and clearly translate analyses and visualizations into practical and actionable recommendations.
- monitor current internal performance and analysis of VBC contracts by creating standard internal reporting that monitors current performance and forecasts future trends.
- monitor and reviews existing and new Government Programs understanding the risk components and partnering with the Director, Value Based Programs to assess feasibility and requirements for participation.
- Collaborate with the management team to determine and rank the needs of different business units and align informational priorities.
- Engage with managers from various departments to specify data requirements for analysis projects tailored to their unique business processes.
- Coordinate a variety of projects/requests simultaneously and ensure timely completion in accordance with business initiatives.
- Develops innovative approaches to achieve deliverables.
- Serves as the subject matter expert on healthcare trends/models by other departments in the organization.
- Develop data dashboards, charts, and visual aids to support decision-making across departments.
- Training end-users on new reports and dashboards.
- Processing confidential data and information according to guidelines.
- Actively participates in quality assessment performance improvement teams and activities.
- Maintain HIPPA compliance at all times.
- Performs other duties as assigned.
Performance Responsibilities:
- Position may primarily work remotely, however may be expected to work within a normal office environment for certain meetings, committees, strategic planning.
- Maintains positive internal and external customer service relationships.
- Maintains open lines of communication.
- Plans and organizes work effectively and ensures its completion.
- Meets all productivity requirements.
- Demonstrates team behavior and promotes a team-oriented environment.
- Actively participates in continuous quality improvement.
- Represents the organization professionally at all times.
Position Requirements & Competencies:
- Must have strong analytical skills, advanced Microsoft Office Suite skills specifically in Excel (including building pivot tables) PowerPoint, Power BI as well as be familiar with Electronic Health Records and data analysis language such as SQL/Python.
- Demonstrated experience with data interpretation, and reporting; clinical and financial data; predictive modeling and forecasting; key performance indicators as it relates to medical cost data and healthcare data elements.
- Advanced analytical skills, including ability to perform data analysis, statistical/financial modeling and reach sound conclusions.
- Ability to put context around data and find root cause issues specific to data.
- Ability to interact effectively with different business departments, team members, and external clients at all levels.
- Demonstrated ability to function in a creative, "out-of-the-box" thinking in order to develop original solutions to overcome roadblocks and meet or exceed customer requirements and expectations.
- Ability to deal with ambiguity and drive results.
- Demonstrate superior communication and presentation capabilities, adept at simplifying complex data insights for audiences without a technical background.
- Ability to work under pressure and meet tight deadlines.
- Successfully complete background check
Education Requirements: The following education requirements are considered essential:
- Bachelor’s degree in business, Accounting, Finance, Economics, Mathematics, Healthcare Administration or Statistics (4 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor’s degree).
- Minimum three years’ demonstrated experience in evaluating and improving clinical data collection and maintaining clinical quality databases and systems.
- Experience in developing financial analysis, modeling and reporting including experience working in various payment models including fee for service, shared savings, partial and full risk, capitation and bundled payments.
- Understanding of homecare business operations is a plus.
To apply via text, text 5843 to 334-518-4376
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