- Bachelor's degree in Computer Science or related field.
- Three years' experience in data analytics to include at least one year of experience in a healthcare setting preferred.
- Experience and expertise with medical practice management software.
- Ability to assimilate and present information logically.
- Advanced user of Microsoft Excel and Microsoft Access applications with frequent use of Microsoft SQL required.
- Working knowledge of various EMR systems is a plus.
- Knowledge of various systems and software technologies.
- Knowledge of computer science concepts and hardware and software applications.
- Knowledge of principles of mathematics, healthcare administration, statistics, and interactive data systems. Knowledge of data measure development.
- Ability to exercise initiative, judgment, and decision-making.
- Ability to assimilate and present information logically.
- Ability to read, analyze and interpret technical materials.
- Knowledge of statistical process control techniques and strong quantitative skills.
- Knowledge of medical terminology, and healthcare coding conventions.
- Ability to work independently and as a team member.
- Excellent time management, multi-tasking, and prioritization skills required.
- Aggregate data from a variety of internal and external sources.
- Support and assist in maintaining a reporting and analysis production process that allows for the distribution of reports, both routine and ad hoc, to appropriate staff or delegated groups.
- Assist in the optimal usage of the existing data systems and applications and provide staff with needed information.
- Assist in the department's data mining, summarizing, validation and integrity of information.
- Recommend developing and implementing data analyses, data collection systems and other strategies that optimize statistical efficiency and quality.
- Interpret needs and specifications in creating analytical reports.
- Create and maintain monthly dashboards with performance metrics.
- Benchmark and compare Quality Management performance data across clinics, delegated groups, and physicians to ensure performance goals and standards are met.
- Review data reports for accuracy and to ensure information observes department's quality standards for accuracy and timeliness.
- Develop working knowledge of clinical quality measures (AMP and HEDIS) and Medicare Risk Adjustment (MRA).
- Research population health-related software platforms as needed for various Quality initiatives.
- Prepare and present reports as requested.
- Assist in responding to clinic staff and/or providers in use of data aggregator portal.
- Participate in providing project management, oversight, and coordination of Quality Management initiatives including analyzing, monitoring, and reporting their effectiveness.
- Identify process issues and make recommendations for improvement.
- Provide varied administrative and project management support within the Quality Management department.
- Participate in health plan and department team meetings as needed.
- Work with other departments and health plans to identify and collect data needed for reporting and department communications.
- Other functions and accountabilities may be assigned as needed.
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Health Information Analyst - Fresno, United States - Sante Health
Description
Job Description
Job DescriptionThis is not a remote position.Sante Health System in Fresno, CA is looking to hire a driven, attention and service-oriented, full-time Health Information Analyst to support our Quality Management department. The responsibilities of this role will aggregate data from a variety of internal and external sources including health plan data and vendor resources as a primary function. This candidate must be able to conduct complex analyses and prepare a variety of production and ad-hoc reports. The analyst must work with the team to support various lines of payer business, Medicare, MediCal, Commercial, and Accountable Care Organization (ACO) as well as various provider specialty and groups.
QUALIFICATIONS FOR DATA ANALYSTSante Health System is a Management Services Organization that serves multiple clients. "Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community.
Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals, and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physician services, practice management, provider relations, quality improvement, and utilization management.
Sante is celebrating over 25 years of service to the community. We deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of talented, driven, dedicated, innovative, and service-driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision, and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home.
If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application. We look forward to hearing from you
