The Value-Based Care Analytics Developer Intermediate designs builds and optimizes data and analytics solutions that support the organizations enterprise priorities and promotes its value-based care initiatives. This role develops analytical tools data pipelines and reporting solutions that drive insight into cost quality utilization and risk under shared savings capitation and performance-based payment models. This role demands technical proficiency in modern data platforms and analytics tools to power data-driven decision-making and benefits from healthcare domain knowledge across clinical operational and financial domains. This role works collaboratively with our analytics product managers and analytics managers to understand user needs and build analytics products and solutions that are self-service automated and scalable. This role is part of our Value-Based Care Institute (VBCI) products and analytics team and works with moderate supervision.
Responsibilities
Analytics Development oDevelop and maintain analytics products and solutions (datasets reporting dashboards) that are used to deliver insights to claims clinical and operational data to assess performance in value-based contracts including for monitoring key performance indicators (KPIs) such as total cost of care quality measures risk scores utilization and shared savings metrics. oMonitor and optimize the performance of data management processes and analytics products and solutions. Ensure automation and alerting in performance monitoring. Advanced Analytics Support oDevelop and maintain analytics frameworks that support key value-based capabilities including member attribution benchmarking performance stratification and risk adjustment oUnderstand and leverage a variety of data sources as required support data management and data pipeline automation in partnership with data engineering and services teams and third-party vendors including payors as needed. Cross-Functional Collaboration oWork closely with value-based care analysts analytics product managers data science and health economists to develop execute on user stories. oPartner with IT and data governance teams to ensure data quality integrity and compliance with applicable governance and organizational standards and policies
Qualifications
EDUCATION:
Minimum of 5 years of experience. A bachelors degree is considered to meet 3 years of experience; a masters degree is considered to meet an additional 1 year of experience and a doctorate degree is considered to meet an additional 2 years of experience. Other relevant formal training in data management data engineering analytics product development and/or healthcare analytics and operations may be considered on a case-by-case basis.
EXPERIENCE:
Proven experience using data and analytics tools. Strong working experience using SQL and at least one analytics or visualization tool (PowerBI Tableau SigmaComputing or other). Experience working with healthcare data types including claims data payor revenue/premium data payor supplemental data clinical data including clinical quality metrics (HEDIS) and risk adjustment (HCCs) social determinants of health (SDOH) and operational data and KPIs. Genuine desire and curiosity to build analytics applications that wow users and reduce their burden in accessing and using data. Deep commitment to continuous learning as part of a cross-functional team that includes clinical and non-clinical stakeholders. Preferred Experience Experience working within an agile delivery environment (DevOps) Knowledge of and experience with healthcare claims data and related claims analytics tools (such as Millimans MedInsight MedeAnalytics Tuva or claims analytics tools) Knowledge of and experience with electronic health records (EHRs such as Epic Cerner eCW Allscripts Athena) and population health management platforms (such as Epics Value Based Care Innovaccer Arcadia Lightbeam or other care management or population health platforms) Understanding of clinical workflows and clinical operations as they relate to value-based care and population health
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