Healthcare Analyst

Full Time
Remote
Posted
Job description

As a Data Analyst for the operations team, you will assist in operational strategy and planning, data reporting and analysis. You will also oversee and monitor clinical program enhancements, operational programs related to member experience, quality of care, delivery of training programs, and process improvement initiatives to meet the objectives defined in the operational work plans.

General Duties/Responsibilities (May include but are not limited to):

· Provide data analysis expertise and strategic input to the development of clinical programs

· Work consultatively with clinical and finance leadership on ROI and clinical program effectiveness monitoring, inclusive of all Alignment Health Plan’s clinical programs.

· Work with CMO, Clinical Leadership, Operations Leadership, and Finance to set financial targets and identify process improvements that will result in cost of care improvements, while improving clinical outcomes

· Monitor and analyze daily, monthly, and annual actual versus expected inpatient acute, observation, readmission, skilled nursing utilization, etc. identifying off track performance.

· Assist with developing SNP Dashboards to track SNP outcomes and trends; communicate off track performance to stakeholders/accountable leaders

· Demonstrate knowledge of the business environment and business requirements (e.g., strategy changes, emerging business needs)

· Design and deploy training programs for business initiatives that span business units, such as software implementation and new lines of business

· Identify appropriate training methodologies and communicate to stakeholders (e.g., leadership, training staff, business partners), in order to drive adoption

· Identify non-training solutions to address business needs/performance gaps, where appropriate (e.g., organization design, leadership development, change management, team dynamics)

· Oversee training metrics and performance improvement strategies

· Ensure clinical and other operational programs are optimized to meet organizational objectives

· Identify and address implementation obstacles/issues as they arise (e.g., scope changes, resource availability, competing priorities, leadership support, low participation)

Supervisory Requirements:

N/A

Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Minimum Experience:

a. Minimum of 5 years’ experience working with business leaders creating business solutions

2. Education/Licensure:

a. Bachelor’s degree required in healthcare administration, public health, life science, business administration, or comparable experience

b. Master’s degree recommended

3. Other:

  • Expert level of skill with Microsoft Excel, PowerPoint, SQL, and Power BI tools
  • The ability to write and develop materials from subject matter experts
  • Experience with WebEx, MS Teams or comparable tool
  • Demonstrated experience leading and managing projects, including long-term strategic initiatives
  • Demonstrated experience developing and delivering training programs
  • Work Environment
  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
  • The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Job Type: Full-time

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift

Experience:

  • data analyst: 1 year (Required)
  • healthcare (utilization/claims): 1 year (Required)

Work Location: Remote

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