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Accountable Care Org Data Analyst

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POST DATE 9/2/2016
END DATE 3/1/2017

Hackensack University Medical Center Hackensack, NJ

Hackensack, NJ
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Mid-Career (2 - 15 years)
Bachelors Degree


The ACO Data Analyst is an integral position that develops, implements, and refines the daily processes and strategies to support the ACO Core Mission goals. The primary function is to serve as lead liaison to the Centers for Medicare and Medicaid Services (CMS) for beneficiary data and regulatory requirements. Works closely and regularly with the Executive Staff to inform and update on all CMS related activities. Other responsibilities include identification of attributed ACO beneficiaries; Administers ACO patient lists in Epic; Administers ACO patient identification software tools; Administers multiple ACO patient registries; Assists with implementation and maintenance of ACO care coordination data harvester and exchange platform software; Monitors; Collects and analyzes all data, and generates scheduled and ad hoc reports as required. 1. Act as primary Medicare CMS Liaison for ACO. 2. Develop, implement and refine a standard suite of scorecard reports to monitor overall ACO performance. Distribute as required to relevant stakeholders. 3. Jointly develop required policies and procedures that reflect actual goals, tasks and workflows, while meeting all regulatory compliance requirements. 4. Jointly develop a process to audit and monitor all applicable compliance plans. 5. Monitor monthly process for recording Medicare beneficiary notices, and submitting same to CMS. 6. Monitor compliance with CMS requirements for ACO website. 7. Provide quarterly updates of ACO provider/supplier roster to CMS. 8. Provide expert guidance on Medicare Shared Savings Program rules and regulations. 9. Assist with NCQA applications as requested. 10. Maintain library of ACO documents, and provide copies to ACO stakeholders as requested. 11. Develop and maintain database content and access to enable timely response for reports. 12. Work with ACO vendors to insure that tools being used by ACO staff are as effective, efficient, and helpful as possible. 13. Monitor and insure that ACO employees are being deployed in service of the work which they were hired to perform. 14. Develop new and work with existing resources to create recruitment and marketing materials while insuring compliance with CMS guidelines for same. 15. Monitor progress, and work with practices on workflows for providing beneficiary notices to all patients who have visits with PCP practices. 16. Monitor that CMS is providing the ACO claim files each month, and insure that claim files are securely re-distributed to designated third party stakeholders. 17. Initiate ACO mailings of beneficiary notices to patients of new ACO practices. 18. Submit monthly ACO participant (TIN) changes to CMS Shared Savings Program. 19. Act as primary contact for Health Endeavors regarding ACO user IT issues. 20. Act as primary contact for Iodine Software regarding ACO user IT issues. 21. Works in a multi-disciplinary team to develop, implement and refine daily processes to assist Patient Care Nurse Navigators and other medical staff with identifying and tracking ACO attributed patients. 22. Identify, track, report and communicate to Patient Care Nurse Navigators and other medical staff when an ACO attributed patient is admitted or discharged (and other defined trigger events). 23. For identified patients, maintains ACO flagging and patient list synchronization in Epic. 24. Collect, analyze and report benchmark and scorecard data such as (but not limited to): Patient Care Nurse Navigator patient contact tracking; ACO patient hospital admission and discharge events; Post-discharge PCMH follow-up events, and other targeted metrics. 25. Administer Iodine software tool, provide training and support as required to Patient Care Navigators and PCMH office staff. 26. Administer database updates of ACO patient registry (Health Endeavors), provide training and support as required to Patient Care Nurse Navigators and PCMH office staff. 27. Monitor NCQA recognition training of candidate PCMH physician practices. Post PCMH recognition; provide general support to physician practice office staff as needed. 28. Administer ACO website. Coordinate with HUMC-ACO webmaster using applicable content management system. 29. Administer Clairvia ACO staff schedule, reconcile exceptions prior to pay period endings, prepare for executive approval of payroll. 30. Administer user profile accounts for Iodine and Health Endeavors. 31. Required to learn/master new software and hardware solutions as they are added to the ACO systems support tools matrix; Continuously update ACO-related IT skill sets and competencies. 32. Maintain internal databases. Performs data intake, extraction, and processing activities necessary to prepare data for various committees and meetings. Structures, maintains, and analyzes data from various external and internal data sets. 33. Interpret results using a variety of techniques from simple data extraction to complex data mining independently. 34. Fulfill ad-hoc report requirements. Resolve systems development and vendor/client support issues as needed and provides recommendations for process and data capture improvements. 35. Support the department in-process flow analysis with emphasis on the effective utilization of the hospital information systems or other Information Technologies to improve organizational performance. 36. Consult with senior ACO officers and staff to identify current operating procedure impediments, clarify program objectives, and develop improved procedures. 37. Demonstrate creativity in developing analytical solutions to new data requests. 38. For staff of member physician practices, and for department end users, acts as initial contact and provides help service function for all ACO application systems problems. Analyzes and documents problem, recommends solution, initiates corrective actions. 39. Regularly participate and/or facilitate meetings with senior level leaders, staff, collaborating departments, facilities and vendors, as required. 40. Adhere to the standards identified in the Medical Center's Organizational Competencies. 41. Other duties as assigned. Working Conditions: Lift a minimum of 20 lbs., push and pull and minimum of 20 lbs., and stand a minimum of 4 hours a day. Education, Knowledge, Skills and Abilities Required: 1. Bachelors Degree and relevant Healthcare experience. 2. Minimum of 7 years of experience in the healthcare related field. 3. Ability to function independently, requiring minimal supervision. 4. Ability to work in stressful situations and be flexible to accommodate the hospital environment. 5. Highly organized and able to multi-task. 6. Attention to detail and commitment to quality. 7. Excellent interpersonal and communications skills, both written and verbal. 8. Technical aptitude and enthusiasm for embracing and understanding new technologies. 9. Excellent analytical and deduction skills. 10. Strong problem solving skills demonstrated by the ability to synthesize research into actionable recommendations and approach requests with innovation. 11. Demonstrated proficiency with PC and Microsoft Office Excel, Access, and Word. 12. Strong analytical reasoning and aptitude with quantitative analysis (MS Access, Excel, and/or SQL experience). 13. Demonstrated experience in the understanding of data relationships, sources of data, and uses of the data in order to provide correct and useful information to senior management and other end users. Education, Knowledge, Skills and Abilities Preferred: 1. Previous experience and knowledge of the ACO and PCMH healthcare model. 2. Previous experience in a variety of patient settings. 3. Previous experience with health information technologies.

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