Clinical Operations Specialist

4 weeks ago

SOMERVILLE MA, United States Mass General Brigham Full time

DescriptionAs a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women’s Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research. We’re focused on a people-first culture for our system’s patients and our professional family. That’s why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees’ personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development—and we recognize success at every step. Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration. Across the country, governments, employers, and American families have struggled in the face of rising healthcare costs. Efforts historically have targeted narrow programs and patient populations, and while many have succeeded, healthcare costs continue to rise. It’s time to take a radically different approach. A new approach involves putting the patient at the center with the goals of improving value and providing better outcomes at lower cost for patients. The Population Health Management (PHM) department at Mass General Brigham is charged with the challenge to drive better value for patients across Mass General Brigham. To achieve its goals, PHM leverages financial and clinical data to examine opportunities, designs and delivers innovative care models using product development and design thinking disciplines, and leverages problem solving, teamwork, and leadership skills to drive ongoing improvement.Reporting to a Program Manager for Care Management, the Project Specialist for Care Management Analytics provides analysis support and contributes to the development of recommendations for new interventions, identification of key program drivers, supports Mass Health contract data requirements, and provides data to support program improvement and other projects as needed.The Specialist is involved in multiple projects that answer broad questions about care management program performance and explore new program opportunities through analysis As part of a highly collaborative team, the Analytic Specialist works closely with the Program Director and Program Managers.Produce routine standard reports and contract deliverables, review to ensure data accuracy and troubleshoot, as appropriateComplete quantitative and qualitative analyses to support the objectives of assigned projects.  This includes creating charts, graphs, and transforming information gathered into a format that is clear, accurate, and useful for facilitating decision-making.Support the development of key program questions to frame analytics; ensure data requested and analyses conducted answer the critical questions such as key program performance drivers and program expansion opportunities.Assist with ongoing efforts to track, report, and evaluate high risk member management efforts using multiple data sources including claims and non- claims-based data.Act as subject matter expert in using claims and EPIC data from the Enterprise Data warehouse (EDW) to provide both business knowledge and analytical support to the Care Management teams.      Work to improve visualization of current reports using existing tools and new tools as they become available in EDW environment.Assist with presentations and updates of findings, and make recommendations to internal and external stakeholders/leaders as needed for assigned projectsWork collaboratively with Program Director, Managers, and Project Managers in designated content areaSpecial projects as assignedUse/s the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & CollaborationOther duties as assignedQualificationsBachelor’s degree required with at least 3 years of work experience preferably in healthcare, or related field, master’s degree a plusMinimum of 1 years of experience in data analytics or related field requiredStrong data analytic and organizational skillsProficient with MS Office Suite, including excel SQL experience required; SAS experience preferredPrior healthcare experience is a plusFamiliarity with Tableau or other similar programs, a plusA combination of education and experience may be substituted for requirementsSkills/Abilities/Competencies:Superior analytic and problem-solving skills with a high value in data integrity and analytic accuracyAbility to conduct detailed analysis as well as distill relevant findings for presentation to a high-level audienceAbility to multitask and prioritize multiple project requests simultaneouslyDemonstrated analytic, organizational, and problem-solving skillsAn inclusive individual who thrives in a highly matrixed, collaborative, team-oriented environmentProven ability to interact with others in a positive and responsive manner to build consensus through negotiation and diplomacyStrong communication and collaboration skillsFlexible and adaptable within a complex, multi-site environment with changing requirementsExercise self-awareness; monitor impact on others; is receptive to and seek out feedback; use self-discipline to adjust to feedbackAccountable for delivering high quality work. Act with a clear sense of ownership Job Field: Professional/ManagerialOrganization: Mass General BrighamSchedule: Full-timeShift: Day JobEmployee Status: Regular

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