Lead Clinical & Population Health Analyst - HEDIS
Company: Highmark Health
Location: Little Rock
Posted on: January 27, 2023
Job Description:
Company :Highmark HealthJob Description :JOB SUMMARYThis job
creates data-driven insights which identify actionable
opportunities and/or create analytics and reporting solutions
aligned to the Quadruple Aim of Healthcare: lower per capita health
care costs, improved outcomes from and quality of care received,
and optimal member/patient and provider experiences with care
delivery. The incumbent serves as a consultative subject matter and
technical expert for internal and external customers, leveraging
advanced analytical expertise and experience to aggregate, analyze
and understand patterns in varied and complex data; and articulates
analytic findings, business implications, and recommendations to
realize identified opportunities.ESSENTIAL RESPONSIBILITIES
- Leads the design, development, execution, dissemination and
interpretation of clinical and population health analyses, metrics
and reports using clinical, member, financial and administrative
data to identify, develop and/or monitor actionable opportunities
for improving health and healthcare outcomes and clinical quality
and costs of care, efficiently and effectively managing projects to
successful completion.
- Establishes strong, collaborative and effective relationships
and communication with internal and external clinical,
administrative, operational, financial and technical stakeholders
to ensure analytics are actionable and aligned with organizational
strategic priorities, needs, plans and resources.
- Serves as a strategic business partner to internal and external
stakeholders as demonstrated by providing thought leadership and
subject matter expertise, and by anticipating and actively
proposing, designing and executing analyses.
- Provides consultative, technical, subject matter and business
expertise mentorship to colleagues across the enterprise.
- Other duties as assigned or requested.EDUCATIONRequired
- Master's Degree in Public Health, Nursing, Economics, Health
Sciences, Informatics, Biostatistics, Statistics, Epidemiology or
Pharmacy or related fieldSubstitutions
- Bachelors Degree in Public Health, Nursing, Economics, Health
Sciences, Informatics, Biostatistics, Statistics, Epidemiology,
Pharmacy OR related field with 2 years of relevant work experience
in lieu of a Masters Degree OR 8 years of relevant work
experiencePreferred
- Doctorate in Medicine, Public Health, Nursing, Economics,
Health Sciences, Informatics, Biostatistics, Statistics,
Epidemiology, Pharmacy or related fieldEXPERIENCERequired
- 7 years of leading the design, execution and dissemination of
clinical and population health reporting, analyses and studies of
progressive scope and complexity
- 7 years with coding languages, analytical software, systems,
tools and processes using claims, clinical, enrollment and provider
data
- 5 years of project leadership in a complex, matrixed
environment (payer and/or provider preferred)
- 5 years of providing analytical consultation to clinical,
administrative, operational and financial stakeholdersPreferred
- NoneLICENSES or CERTIFICATIONSRequired
- NonePreferred
- NoneSKILLS
- Demonstrated record of data-driven discovery, intense
intellectual curiosity, and a passion for working with data to
answer important questions about clinical care and population
health that drive the Quadruple Aim
- Strong working knowledge of coding languages, relational
databases, quantitative and qualitative analytic methodologies,
advanced analytics and statistics
- Excellent communication and facilitation skills with project
team members, stakeholders, executives, and external customer,
exceptional written and oral presentation skills, proven ability to
communicate interpersonallly and technically with technical and
non-technical, and internal and externbal audiences, and the
ability to lead through influence
- Healthcare industry expertise and experience, knowledge about
the shifting healthcare environment including trends concerning
health insurance, healthcare delivery, provider relationships and
regulatory issues
- Sophisticated knowledge of how organizations work and how to
get things done through formal and informal channels
- Exhibition of perseverance through energy, drive and
demonstrated success when resistance or setbacks are
encountered
- In-depth understanding of and experience with both clinical and
business processes, and the ability to identify opportunities for
improvement and develop solutions
- Demonstrated ability to informally lead matrixed teams of
technical, clinical, administrative, financial and operational
staff to achieve shared organizational objectives and strategic
goalsLanguage (Other than English):NoneTravel Requirement:0% -
25%PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONSPosition
TypeOffice-basedTeaches / trains others regularlyFrequentlyTravel
regularly from the office to various work sites or from
site-to-siteOccasionallyWorks primarily out-of-the office selling
products/services (sales employees)NeverPhysical work site
requiredNoLifting: up to 10 poundsConstantlyLifting: 10 to 25
poundsOccasionallyLifting: 25 to 50 poundsRarelyDisclaimer: The job
description has been designed to indicate the general nature and
essential duties and responsibilities of work performed by
employees within this job title. It may not contain a comprehensive
inventory of all duties, responsibilities, and qualifications
required of employees to do this job.Compliance Requirement : This
job adheres to the ethical and legal standards and behavioral
expectations as set forth in the code of business conduct and
company policies.As a component of job responsibilities, employees
may have access to covered information, cardholder data, or other
confidential customer information that must be protected at all
times. In connection with this, all employees must comply with both
the Health Insurance Portability Accountability Act of 1996 (HIPAA)
as described in the Notice of Privacy Practices and Privacy
Policies and Procedures as well as all data security guidelines
established within the Companys Handbook of Privacy Policies and
Practices and Information Security Policy.Furthermore, it is every
employees responsibility to comply with the companys Code of
Business Conduct. This includes but is not limited to adherence to
applicable federal and state laws, rules, and regulations as well
as company policies and training requirements.ments.Highmark Health
and its affiliates prohibit discrimination against qualified
individuals based on their status as protected veterans or
individuals with disabilities, and prohibit discrimination against
all individuals based on their race, color, age, religion, sex,
national origin, sexual orientation/gender identity or any other
category protected by applicable federal, state or local law.
Highmark Health and its affiliates take affirmative action to
employ and advance in employment individuals without regard to
race, color, age, religion, sex, national origin, sexual
orientation/gender identity, protected veteran status or
disability.EEO is The LawEqual Opportunity Employer
Minorities/Women/Protected Veterans/Disabled/Sexual
Orientation/Gender Identity (
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf
)We endeavor to make this site accessible to any and all users. If
you would like to contact us regarding the accessibility of our
website or need assistance completing the application process,
please contact number below.For accommodation requests, please
contact HR Services Online at
HRServices@highmarkhealth.orgCalifornia Consumer Privacy Act
Employees, Contractors, and Applicants NoticeReq ID: J221408
Keywords: Highmark Health, Little Rock , Lead Clinical & Population Health Analyst - HEDIS, Healthcare , Little Rock, Arkansas
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