Job Details
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Job Description
Key Responsibilities
- Data Analysis and Reporting:
- Analyze healthcare data (e.g., claims, EHRs, patient outcomes) to identify trends, patterns, and opportunities for improvement.
- Develop dashboards and reports to track key performance indicators (KPIs) such as cost savings, patient outcomes, and care quality metrics.
- Population Health Management:
- Use predictive analytics to identify high-risk patients and recommend targeted interventions.
- Monitor and evaluate the effectiveness of population health programs (e.g., diabetes management, hypertension control).
- Performance Measurement:
- Measure and report on value-based care metrics, such as:
- Hospital readmission rates.
- Patient satisfaction scores (e.g., NPS)
- Cost per episode of care.
- Benchmark performance against regional or national standards.
- Measure and report on value-based care metrics, such as:
- Collaboration with Stakeholders:
- Work with clinicians, care managers, and administrators to translate data insights into actionable strategies.
- Support the design and implementation of value-based care initiatives.
- Technology and Tools:
- Utilize advanced analytics tools (e.g., SQL, Python, R, Tableau, Power BI) to analyze and visualize data.
- Manage and integrate data from multiple sources (e.g., EHRs, claims, patient registries).
- Quality Improvement:
- Identify gaps in care delivery and recommend process improvements.
- Support accreditation and compliance efforts (e.g., HEDIS, CMS Star Ratings).
- Cost and Utilization Analysis:
- Analyze healthcare utilization patterns to identify cost-saving opportunities.
- Evaluate the financial impact of value-based care programs.
Job Requirements
- Technical Skills:
- Proficient in data analysis tools (e.g., SQL, Python, R, SAS).
- Experience with data visualization tools (e.g., Tableau, Power BI).
- Knowledge of healthcare data standards (e.g., HL7, FHIR).
- Familiarity with EHR systems (e.g., Intersystem).
- Analytical Skills:
- Strong ability to interpret complex healthcare data.
- Expertise in predictive modeling and risk stratification.
- Experience with statistical analysis and machine learning.
- Healthcare Knowledge:
- Deep understanding of value-based care models (e.g., ACOs, bundled payments, capitation).
- Knowledge of healthcare regulations and quality metrics
Familiarity with population health management strategies.
- Education:
- Master’s degree in Health Informatics, Data Science, Public Health, or a related field.
- Bachelor’s degree in Healthcare Administration, Statistics, or Computer Science.
- Certifications:
- Certified Health Data Analyst (CHDA).
- Certified Professional in Healthcare Quality (CPHQ).
- Tableau Desktop Specialist or Power BI Certification.
Experience
- 3+ years of experience in healthcare analytics, with a focus on value-based care.
- Experience working with payers, providers, or accountable care organizations (ACOs).
- Proven track record of using data to drive cost savings and improve patient outcomes.