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Healthcare Analyst, ACO
The Healthcare Analyst, ACO is responsible for the collection, analysis and reporting of clinical and financial data pertaining to the ACO beneficiary population and practices and related hospitals. This individual is responsible for accessing and analyzing all relevant data available and to suggest areas for improvement and possible solutions. The role is internally active and requires the analyst to work with ACO staff, hospital staff, physicians, vendors and consultants to extract information and data. 1. Collection, analysis, and reporting of ACO patient medical claims and financial data. Analysis will include reportable elements at TIN, practice and provider levels. 2. Develops integrated revenue/expense analyses, projections, reports, and presentations. 3. Creates and analyzes monthly, quarterly, and annual reports and ensures financial information has been recorded accurately. 4. Identifies trends and developments in competitive environments and presents findings to senior management. 5. Performs financial modeling of data to determine issues, risk and potential cost savings and benefits. 6. Achieve competency with multiple ACO software applications - for example - TEAM of Care, Verisk, Medicare databases and any other systems added. 7. Interfaces virtually and physically with senior level executives, including directors from ACO and Finance, CMOs and the CFO's in order to communicate analyses and gather information on data needs. 8. Ensures issues are identified, tracked, reported on and resolved in a timely manner. 9. Demonstrates creativity in developing analytical solutions to new data requests. 10. Plans, executes and summarizes analyses in presentation-ready format, ready to be incorporated into longer 'story' or explained in working sessions. 11. Effectively translates the data based on needs. 12. Demonstrates ability to synthesize and translate all analytical results in assigned area into salient and convincing conclusions in a clear and compelling presentation format and communicates needed changes to ACO administrative team. 13. Performs data intake, extraction, and processing activities necessary to prepare data for various committees and meetings. 14. Create, develop, and support document and image databases and related indices. 15. Conducts quality control evaluations of each process from data receipt to production. 16. Adheres to the standards identified in the Medical Center's Organizational Competencies. Working Conditions: Lifts a minimum of 20 lbs. and stands a minimum of 4 hours a day. Education, Knowledge, Skills and Abilities Required: 1. Bachelor's Degree. 2. Minimum 2 years of experience in at hospital or healthcare consulting setting. 3. Analytical reasoning and aptitude with quantitative analysis (MS Access, Excel, and/or SQL experience). 4. Strong problem solving skills demonstrated by the ability to synthesize research into actionable recommendations and approach requests with innovation. 5. Attention to detail and commitment to quality. 6. Experience working in a startup environment. 7. Technical aptitude for learning new technologies. Education, Knowledge, Skills and Abilities Preferred: 1. Undergraduate or advanced degrees in clinical informatics, actuarial analytics and/or health policy. Licenses and Certifications Required: Licenses and Certifications Preferred:
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.