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Ruxton, Maryland, United States
Hybrid
Location:
GBMC, Towson, MD - this is a hybrid position
Education:
Bachelor’s degree required.
Master’s degree in Business, Health Administration, Finance or related field preferred.
Experience:
2+ years of experience required.
Experience in health administration, data analytics, or related field preferred.
Skills:
Data literacy (ability to read, write, and communicate data in context)
Conceptual analytical and quantitative skills.
Data collection, manipulation, and analysis skills.
Comfort with working in a self-driven, start-up environment.
Interest in and active pursuit of opportunities to learn and grow, and ability to handle multiple demands, shifting priorities, crises, and rapid change
Knowledge of management, business planning, finance, and healthcare.
Working knowledge of finance, accounting, financial models, healthcare data, market and competitive analysis techniques.
Skill in report testing, and supporting end users in report testing process
Able to manage multiple tasks in an uncertain and fast-paced environment
Excellent analytical and/or operational problem-solving skills; demonstrates ability to conduct and interpret quantitative/qualitative analyses and make recommendations for improvement/changes
Knowledge of health insurance claims structure and analytics, including GPRO/HEDIS Quality measures, risk adjustment methodologies, efficiency of care and utilization metrics.
Experience with large data sets, clinical quality measures, and claims analysis. Advanced skills in Excel and ease with data management (i.e. MS Access, SQL)
Skill in oral and written communication and time management with ability to effectively present to and facilitate groups
Principal Duties and Responsibilities:
Works with claims data files and analytics tools to monitor aggregated and drilled down performance including risk adjusted efficiency and claims-based quality metrics
Works with the clinical and financial teams to identify trends and patterns in these complex data sets, draws conclusions, develops graphical and narrative summaries utilizing charts, graphs and images to appropriately display the information for presentation to stakeholders
Drives the design of financial and clinical outcomes reporting based on various sources including medical claims, disease registries, and electronic health records for population health activities, payer contracts, and GBMC employee health plan.
Analyzes large amounts of clinical data and turns key findings into strategic recommendations for specific clinical areas.
Design and develop reports, dashboards, scorecards, and other analytic results as necessary to support activities related to accountable care, managed care, and other GBHA goals.
Analyzes and generates reports on performance related to overall outcomes, utilization, risk adjusted total cost of care, population health, and care coordination.
Support the analysis of data from multiple sources, primarily claims files associated with value-based contracts.
Provide insight for informed decision-making and planning by identifying trends/patterns within complex data sets and visualizing and deploying the data to appropriately inform stakeholders.
Manage the technical related aspects of health analytics to support GBHA’s operational needs regarding data analysis and insight development.
Serves as subject matter expert to support the population health needs regarding claims data, value-based payer contracts, quality data and CRISP data.
Supports implementation initiatives for population health performance solutions.
Maintains current industry knowledge of healthcare financial, cost, reimbursement, market, regulatory and clinical trends, nationally and locally.
Pay Range
$58,488.99 - $93,582.39Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.
Equal Employment Opportunity
GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
