Empanelment Analyst
Sacramento, CA - USA
Job Summary
- GeneratemonthlypanelreportsandreviewPCPassignments
- Calculatecontinuityofcarepercentagesforeachprovider;adjustforvacationcoverageschedulesandotherfactors
- Resolveunassignedpatientsbyreviewingappointmenthistory(andpossiblytheclinicalrecord)todetermineappropriate assignment
- Monitorinfluxofnewpatientsintoproviderpanelsandanalyzeprovidercapacitytoabsorbnewpatients;review issues withVP of Health Services andChiefHealthOfficer and reassign asappropriate.
- Assesspanelsizeagainstrightsizeanddiscussanyneededadjustmentswiththe VP of Health Services andtheChiefHealthOfficerand/orthemedicalmanagement team
- Trackpatientstatuschangesincludingdeathtransfertoothercareandmakeneededchangesinthepractice management system
- Reviewtransferofcarerequestsincluding:
- Patient-initiatedPCPchangerequests;facilitatediscussionbetweenandobtainapprovalfromcurrentassigned PCP and future PCP; make the change in the practice management system
- ; obtain agreement of acceptance by the new PCP; make the change in the practice management system
- Trackproviderstatuschanges(transferterminationsabbaticalmedicalleaveetc.)and:
- Evaluateimpactonassignedpanelofpatients
- Reassignpaneltootherclinicprovidersaccordingtopanelcapacity
- NotifyaffectedpatientsofnewPCPassignment
- Collaboratewithclinicmanagersprovidersandcareteamsintheimplementationandongoingmaintenanceofthe provider empanelment process
- Assistinthedevelopmentofworkflowsandprotocolstomaximizeoutcomereporting
- Owns the panel reporting process including data cleanup provider alignment and validation to ensure accuracy and integrity of empanelment data
- Develops dashboards and reporting tools to support panel management empanelment and risk stratificationutilizingsystems such as Azara EPIC OCHIN and BI reporting tools
- Partners with IT and Population Health teams tooptimizedata sources and reporting workflows that support patient outreach recall initiatives and care gap closure
- Developandimplementdatastrategiesthatoptimizeefficiencyanddataquality
- AssistwithdailyreviewappointmenttoensurepatientsarescheduledwithPCP
- Adheretoattendanceandpunctualitypolicies
- Maintainestablisheddepartmentalpoliciesandprocedures
- Supportthevisionmissionandgoalsanddemonstrationcommitmentthevaluesoftheorganization
- Enhanceprofessionalgrowthanddevelopmentthroughparticipationineducationalprogramscurrentliteraturein- service meetings and workshops
MINIMUM REQUIREMENTS
- Bachelors degree in healthcare business public health analytics or a related field; or equivalent combination of education and experience.
- Two years of experience in healthcare operations healthcare analytics panel management population health or related field.
- Intermediateadvancedproficiencyin Microsoft Excel.
- Experience working with healthcare data reports and operational metrics.
- Strong analytical organizational and problem-solving skills.
- Ability to interpret data and communicate findings to operational and clinical stakeholders.
- Experience with electronic health records and healthcare reporting systems
PREFERRED BACKGROUND
- Ability to collaborate effectively across a broad spectrum of backgrounds and who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all.
- Demonstrated person-centered approach and familiarity with trauma informed systems and restorative practices
One Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require an accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application please contact us at
Our Benefits
For more information on the comprehensive benefits we provide please visit: Information:
We only employ US citizens and non-US citizens authorized to work in the United States in compliance with federal law.
Required Experience:
IC
About Company
One Community Health is a primary healthcare and specialty care provider dedicated to improving the health and well-being of our community. Since our beginning in 1989, it has been our mission to create a healthier Sacramento by increasing access to care in our community, regardless o ... View more