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Data / Reports Analyst

Company: Urbane Systems LLC
Location: Cerritos
Posted on: March 15, 2020

Job Description:

Health Information Consultant Responsible for identifying opportunities to improve health care affordability through analysis of data. Ability to translate data to provide answers and stories from the data for client consultation for improving health care affordability to professional clients. Primary duties may include, but are not limited to: Collaborates with the data warehouse analysts in the establishment and adherence to business rules. Provides business knowledge regarding the appropriate use of data elements and cooperates with reporting personnel from other areas to establish and maintain these common business rules. Tracks and prioritizes projects through coordination and negotiation with client to improve the efficiency of information/project plan generation. Evaluates and triages potential projects and studies based on the value, cost benefit analysis and the urgency of the request. Performs strategic data analysis (data mining) and research as appropriate to support business needs (e.g., disease management, provider profiling, etc.). Develops good understanding of relevant business processes, goals and strategy in order to provide analysis and interpretation. Collaborates with business user to define media, frequency and audience for distribution of information. Develops action plans to address areas for improvement identified through data analysis and business expertise and communicates action plans to client. May assist in the planning of initiatives to address areas for improvement. Additional Job Description Details Work consultatively with Clinical Operations, Utilization Management, Quality Management, Case Management, Performance Management and Risk Adjustment teams to devise, analyze, and enhance pro forma models, reports, and analysis, including Star Dashboards, Pharmacy expense and utilization, Specialty, PCP and ancillary utilization and cost trend and pattern analysis, clinic/clinician productivity, Physician incentive program, Acute and SNF inpatient utilization (MS DRG Case Mix Index analysis, days and admits per thousand, ALOS, readmit calculations, etc.), HCC Risk Adjustment, HEDIS, EMR/EPM, Predictive Modeling for patient identification and intervention. Apply statistical concepts such as standard deviation, geometric mean, quartiles/deciles stratification of cost vs. acuity, bell curves/outlier evaluation, correlation coefficients, population size credibility, predictive R2, etc. Bring analytic insights alive via creative, intuitive visualizations. QUALIFICATIONS:Requires a BS/BA degree; at least 3 years related experience in analysis and reporting. Knowledge and understanding of data warehouse data structures and data flows and standard Business Information tools and programming/query languages. Excellent communication skills. REQUIRED SKILLSET SQL, Tableau, SSRS, healthcare data analytics.3-5 years of experience in Health Care Analytics, Economics, Informatics or Decision Support.Bachelors degree required (Masters preferred) in a related field such as business, Economics, Statistics, Advanced Analytics, Data Science, Health Management, Microbiology.Job-related experience will be considered should the candidate s degree be in a non-related field. Technology competency required: Advanced proficiency in SQL for queries and stored procedures. Use of Tableau or Visual Studio for front end interface development, including dynamically linked drill downs, tabular format, charts, graphs, etc. Software solutions include SQL Server, Tableau, Excel, VB, PowerPoint, Visual Studio (RDL creation). Technology experience preferred: Tableau, SSRS, SSIS, SSAS, Informatica, VB (used for advanced Excel), Excel Power Query.Healthcare Industry Knowledge/Experience Preferred: Managed care concepts such as pmpm, capitation, unit cost, per thousand normalization, quality, UM, HEDIS/STARS, pharmacy patient adherence/patient safety metrics, HCC and ACG risk adjustment, DRG, RBRVS, APC Medicare claims payment methodologies, ICD10 diagnosis/procedure codes, CPT/HCPCS, NDC codes. - provided by Dice

Keywords: Urbane Systems LLC, Cerritos , Data / Reports Analyst, Professions , Cerritos, California

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