About the Role
Title: Senior Clinical Data Analyst – Remote
Location: United States
Job Description:
Senior Clinical Data Analyst – Remote
ID
2024-3510
Category
Corporate
Position Type
Full-Time
Min
USD $75,000.00/Yr.
Max
USD $86,000.00/Yr.
Location/Org Data : Name Linked
CO – Corporate HQ
Responsibilities
The Senior Clinical Data Analyst supports the Director of Clinical Analytics as the resource for data collection and analytics related to key functions of the organization, including but not limited to: population health, clinical outcomes, health care service utilization and customer satisfaction. The analyses performed will support regulatory reporting as well as support data-driven interventions and assessment for performance improvement activities throughout the enterprise.
This position is remote.
Functional Category: Data Analytics and Reporting
Estimated Percent of time Spent – 65%
• Serves as the Senior Data Clinical Analyst for the Clinical Analytics Department, leading enterprise-wide ongoing and ad-hoc data projects on behalf of the Director of Clinical Analytics.
• Synthesizes several data sources to report quality and performance metrics in an accurate and timely manner to appropriate regulatory agencies and organizational senior leadership. Data sources include, but are not limited to: claims data, service utilization reporting, electronic medical records data, enrollment data and reported incidents and grievances.
• Develops and executes data analyses to support clinical quality improvement, care management, utilization management in collaboration with clinical leadership.
• Possesses a strong working knowledge and experience with nationally-recognized health care quality metrics and benchmarking strategies.
• Performs concurrent review and retrospective in-depth analysis of patient records and claims data for purposes of identifying quality improvement opportunities.
• Develops and maintains a data repository, serving as a “source of truth” for organization-wide measures of quality. Improves the validity and effectiveness of the data repository over time.
• Develops, maintains and improves a key performance indicators (KPI) data dashboard for use by senior management to track and trend organization-wide performance.
• Manages external contractors, such as HEDIS abstractors and CAHPS survey organizations to ensure data collection methodology is aligned with nationally-recognized quality standards.
• Ensures that all regulatory data reporting is submitted accurately and on time.
Functional Category: Additional Duties
Estimated Percent of time Spent – 35%
• Generates data analyses and reports for presentation to select audiences; including company senior leadership, Board members, clinicians and the general public. Possesses strong presentation skills; presenting results orally, in writing and visually for review by both subject matter experts as well as lay people.
• Serves as the organization-wide content expert across all lines of business, for measurement and analysis methods. Imparts knowledge of methods for data collection, implications for research and opportunities for data-driven improvements to senior leaders and quality staff. Continually expands & updates this knowledge.
• Interacts frequently with leadership and quality personnel, including Infection Control, Risk Management, Compliance, Clinical staff, Home Care, etc. Facilitates discussions with these stakeholders of existing data, reports, and analyses while assessing unmet needs and potential enhancements. Advises on trends and helps coordinate project teams to improve processes.
• Additional collaborations with Information Technology (IT) Data Analytics and Clinical Application departments for reporting development
Travel Requirements – 10%
• Travel required, overnight travel out of state
Qualifications
Required
• Bachelor’s degree in research, statistics, health administration, or a related field from an accredited college/university.
• Minimum of 3 years of experience with data analysis. Experience within the healthcare field is preferred.
• Minimum of 3 years of experience with generating and ensuring accurate and easily understood data analysis and presenting results orally, in written form or graphical format for review by both subject matter experts as well as lay people.
• Working knowledge of healthcare industry measures of customer satisfaction, clinical performance, and financial measures, including CAHPS, HEDIS, and other common health care metrics.
• Experience with obtaining and manipulating health care data such as: claims, clinical values, enrollment and survey data.
Preferred
• Minimum of 3 years of working experience with nationally recognized health care metrics and performance measurement strategies.
• Mastery of desktop applications, including MS Office (Teams, Word, Excel and PowerPoint).
• Advanced skills using Tableau, Excel, SQL and other databases. Skills required include but are not limited to: construction and use of pivot tables, use of advanced formulas and use of VBA and Macros.
• Experience with other statistical analysis programs, such as R programming, SPSS, SAS, MS Access and/or QI Macros.
• Knowledge of Epic reporting and any applicable certifications.
• Able to establish and maintain cooperative and positive working relationships.
• Organized, detail-oriented, diplomatic, proactive, self-motivated, dependable, and driven by excellence.
• Even-tempered and able to balance multiple tasks in accordance with changing deadlines and priorities in a fast-paced environment.
• Ability to work sensitively and effectively with individuals of diverse ethnic and cultural backgrounds.