Sr Population Health Analyst

4 days ago

Bakersfield, United States CommonSpirit Health Full time

Overview:

***This position is remote.

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Healths Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities:

***This position is remote.

Position Summary:


The Senior Population Health Analyst supports population health initiatives by analyzing and compiling data from multiple systems and presenting the analysis in a meaningful format. The analysis will cover many areas of healthcare data including clinical, quality and financial. The Senior Population Health Analyst has an understanding of population health analytics, and an understanding of clinical and claims based data systems and measures. This position will use Dignity Health MSO's claim data warehouse, population health tools, electronic health record, and other reporting systems to provide clinical and claims related reporting and analytics. The Senior Population Health Analyst will provide support for data integrity and data validation in the production of data that drives operations, financial and quality queries.


Responsibilities may include:

- Understanding of population health analytics and an understanding of clinical and claims based data systems and measures.

- Use of Dignity Health MSO's claim data warehouse population health tools electronic heath record and other reporting systems to provide clinical and claims related reporting and analytics.

- Provide support for data integrity and data validation in the production of data that drives operations financial and quality queries.

- Performs analysis and interpretation of data to demonstrate clinical and financial outcomes within specified time frames and frequencies.

- Analyzes and reconciles claims data for bundled payments shared savings and other payment innovation initiatives. Tracks success metrics and various reporting needs for participating facilities and as guided by relevant entities.

- From claims and other data provided by vendors and from payers prepares analysis of cost data to report financial performance of contracts.

- Develops trend analysis reports that monitor key performance indicators and compares them to internal and external benchmarks and uses this data to assist leadership in decision-making planning and implementation of performance improvement strategies.

- Works with cross-functional team to identify research gather and analyze data from multiple internal and external sources in order to compare contrast and synthesize information.

- Assist with identifying statistically significant patterns and trends.

- Prepares and presents reports and recommendations for the leadership team.

- Develops new and maintains existing SQL views/ stored procedures/ functions customer reports and applications to automate business processes.

- Participates in code peer reviews to ensure database automation efforts comply with best practices.

- In collaboration with the Director of Data Analytics key stakeholders IT etc. designs and maintains regular dashboards on quality financial outcomes population health management (PHM) measures and other metrics.

- Mentors and trains team member on analytic techniques data features analytics software applications clinical scenarios customer business dynamics results communication and ways of working.

- Generates technical documentation of requirements methodologies coding testing plans and results validations.

- Supports and manages analytics projects originating both through ad hoc customer request and internal development roadmaps.

- Other duties as assigned.

Qualifications:

Minimum Qualifications:


- 5 years finance or analytics/analyst experience in a healthcare environment 2-3 years healthcare (payer/ provider) experience and database querying skills.
- Bachelor's Degree in relevant field(s) of study such as health administration management, information systems or business administration. Equivalent work experience may be considered in lieu of a degree.

Preferred Qualifications:


- 5+ years of experience with Business Intelligence tools preferred.

- 5+ years of experience creating stored procedures and functions preferred.
- Master's Degree in relevant field(s) strongly preferred.

#LI-DH

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