Health Care Data Analyst Senior

Health Care Data Analyst Senior

Location: Birmingham, AL

Work Schedule: Hybrid schedule with regular work onsite at the VIVA HEALTH corporate office and some work-from-home opportunities.

Job Summary

The Senior Health Care Data Analyst is responsible for supporting and developing VIVA HEALTH’S processes and initiatives through data analytics, process improvement, and decision support. This includes monitoring and reporting on VIVA HEALTH quality, utilization, and other performance indicators, identifying opportunities for improvement, conducting qualitative analysis in support of strategic decision making, and collaborating with functional areas to monitor the impact various initiatives have on department Key Performance Indicator (KPIs).

This role emphasizes highly efficient use of data organization and manipulation techniques to produce reporting and provide analytical reasoning on key department indicators relative to standardized benchmarks or norms and company performance goals. This individual will monitor the outcomes of key indicators including health care quality measures, population health outcomes, member experience and surveys, as well as utilization, cost, and other operational metrics. The position is responsible for the development, maintenance, and presentation of data driven KPI dashboards and other related information and materials to both internal and external audiences.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

• Comprehensive Health, Vision, and Dental Coverage
• 401(k) Savings Plan with company match and immediate vesting
• Paid Time Off (PTO)
• 9 Paid Holidays annually plus a Floating Holiday to use as you choose
• Tuition Assistance
• Flexible Spending Accounts
• Healthcare Reimbursement Account
• Paid Parental Leave
• Community Service Time Off
• Life Insurance and Disability Coverage
• Employee Wellness Program
• Training and Development Programs to develop new skills and reach career goals
• Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Key Responsibilities

• Conduct data collection, manipulation, analysis, and/or research in support of various performance improvement initiatives.
• Conduct population health data analysis, monitor KPI trends, provide analysis relative to benchmarks, and offer other related analytical support to data-driven strategic initiatives.
• Assist with in-depth analytical reasoning, performance reporting, and/or quality assurance testing for the assigned department. This includes database query and data retrieval from vendor applications and internal software solutions (e.g. Microsoft SQL Server).
• Prepare and tailor reports with appropriate visual elements and formatted styling to best fit the end-user, including trend analysis, benchmark comparison, graphs or graphical elements, and tables.
• Conduct impact, gap, or ROI analysis for new and existing department processes, initiatives, and/or system applications.
• Serve as subject matter expert of organization of data tables and sources used by the department for assigned data analytic projects; collaborate with internal and external stakeholders to facilitate integration data into other Health Plan data tables and sources.
• Provide support for Health Plan data audits (i.e., HEDIS, CMS).
• Assist with data transfer between VIVA HEALTH and its vendors; assist with QA of vendor-supplied data and results; Act as liaison between vendors and VIVA HEALTH users.
• Provide data to support research projects and operational improvement initiatives by fulfilling ad-hoc requests; collaborate with staff to refine query parameters for health care data extraction/analytical support.
• Support the development, maintenance, and presentation of Key Indicator Performance (KPI) Dashboards for internal stakeholders and external provider partners.

REQUIRED:

• Bachelor's degree in Business, Public Health, Health Care Administration, MIS, HIS, Statistics, or related field
• Minimum of 3 years’ experience with data analysis techniques and interpretation
• Minimum of 1 year experience working with health care data
• Advanced level of proficiency in Microsoft Excel, including pivot tables, conditional formatting techniques, graphs, and advanced formulas, including Statistical, Lookup, Reference, and Logical Functions
• High level of technical proficiency and understanding of commonly used Windows OS business-support applications including Microsoft Outlook, Word, and PowerPoint, Adobe Pro, etc.
• High level of proficiency and experience in appropriate visualization techniques for the graphical presentation of data and results in a group setting
• Intermediate to Advanced level of proficiency in Tableau, Microsoft SQL Server, SAS, Crystal, or similar query or data manipulation tools
• Intermediate to Advanced level of proficiency in SQL programming language
• Experience collecting and analyzing complex data and providing recommendations using independent judgement
• Knowledge of data organization principles and techniques (ex: data tables, data storage, and retrieval)
• Demonstrated ability to apply logical deductive reasoning to research or analytic results toward application to business operations
• Strong analytical skills to diagnose and support resolution of department strategic concerns and issues
• Ability to evaluate existing projects or processes and offer suggestions to improve efficiency
• Ability to exercise sound independent judgement and discretion in decisions that affect business operations
• Self-directed; demonstrated ability to initiate, implement, and complete projects and assignments in a timely manner
• Excellent organizational and interpersonal skills, including the ability to work on and track multiple assignments on various timelines with minimal supervision

PREFERRED:

• Master’s degree in related field
• At least 1 year of experience working with a Health Insurance Plan or in a clinical setting
• Six Sigma Green Belt or higher
• Tableau certification
• Intermediate or higher level of proficiency in Tableau software or similar analysis/visualization tool
• High level of familiarity with ICD10 procedure and diagnosis codes
• Demonstrated experience developing or initiating new operational projects and programs
• Knowledge of Medicare Advantage and MAPD Plans, Health Maintenance Organizations, or other Health Insurance operations
• Ability to interpret written health care quality measure specifications and apply them to business operations