Value Based Care Analytics Manager Intermediate
Share
Job Location:
Greensboro, NC - USA
Monthly Salary:
Not Disclosed
Posted on:
18 hours ago
Vacancies:
1 Vacancy
Job Summary
Overview
| The Value-Based Care Analytics Manager Intermediate develops executes and presents advanced analysis for clinical financial and operational performance leveraging healthcare claims clinical operational and related data sources. This role plays an important part in day-to-day reporting and evaluation of the enterprises value-based care and risk-based programs. This role requires entry-level knowledge of healthcare claims and claims analytics clinical quality and quality metrics clinical coding care team operations and initiatives as well as analytics tools and techniques for the analysis of this data. This role is part of our Value-Based Care Institute (VBCI) products and analytics team and works with moderate direct supervision. |
Responsibilities
| Data Analysis & Performance Monitoring oAnalyze claims clinical and operational data to assess performance in value-based contracts. oMonitor key performance indicators (KPIs) such as total cost of care quality measures risk scores utilization and shared savings metrics. oRespond to ad hoc value-based care analytics requests. Quality & Outcomes Analytics oMeasure and evaluate quality performance against HEDIS STAR ratings CMS quality programs and custom metrics. oCollaborate with clinical teams to identify gaps in care and improvement opportunities. Cross-Functional Collaboration oSupports work across a variety of teams and stakeholders. oPrepares components for reporting and presentations. |
Qualifications
| EDUCATION: |
| Formal training or work experience in data analytics data analysis or data science. 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 analytics and/or healthcare analysis and operations may be considered on a case-by-case basis. |
| EXPERIENCE: |
| Minimum of 5 years of experience. Experience working with two or more 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. Proven experience using data and analytics tools. Deep experience using SQL and at least one analytics or visualization tool (PowerBI Tableau SigmaComputing or other). Ability to communicate analysis to peers and stakeholders. Genuine curiosity to dive deep into healthcare data and uncover insights and root causes. Deep commitment to continuous learning as part of a cross-functional team that includes clinical and non-clinical stakeholders. Preferred Experience: Experience working in modern data infrastructure (Snowflake or Databricks). Experience providing analysis and analytics for value-based contracts Experience working within an agile delivery environment (DevOps) Experience working with healthcare payors (CMS regional and national payors) 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) Understanding of clinical workflows and clinical operations as they relate to value-based care and population health Knowledge of and experience with population health management platforms (such as Epics Value Based Care Innovaccer Arcadia Lightbeam or other care management or population health platforms) |
| LICENSURE/CERTIFICATION/REGISTRY/LISTING: |
Required Experience:
Manager
Key Skills
- Adobe Analytics
- Data Analytics
- SQL
- Attribution Modeling
- Power BI
- R
- Regression Analysis
- Data Visualization
- Tableau
- Data Mining
- SAS
- Analytics
About Company
Cone Health is a not-for-profit network of healthcare providers serving people in Guilford, Forsyth, Rockingham, Alamance and Randolph counties.
