Lead Clinical and Population Health Analyst

Overview

JOB SUMMARY:

This job creates data-driven insights which identify actionable opportunities and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care delivery. The incumbent serves as a consultative subject matter and technical expert for our internal Enhanced Community Care Management (ECCM) team, leveraging advanced analytical expertise to aggregate, analyze and understand patterns in varied and complex data;

and articulates analytic findings, business implications, and recommendations to realize identified opportunities.

• Leads the design, development, execution, dissemination and interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial and administrative data to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to successful completion.

• Establishes strong, collaborative and effective relationships and communication with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with organizational strategic priorities, needs, plans and resources.

• Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought leadership and subject matter expertise, and by anticipating and actively proposing, designing and executing analyses.

• Provides consultative, technical, subject matter and business expertise mentorship to colleagues across the enterprise.

• Other duties as assigned or requested.

• Required:
  
  Master s Degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology or Pharmacy or related field

• Bachelor’s Degree in Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy OR related field with 2 years of relevant work experience in lieu of a Master’s Degree OR 8 years of relevant work experience

• Doctorate in Medicine, Public Health, Nursing, Economics, Health Sciences, Informatics, Biostatistics, Statistics, Epidemiology, Pharmacy or related field

• Required:
  
  7 years of leading the design, execution and dissemination of clinical and population health reporting, analyses and studies of progressive scope and complexity

• 7 years with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider data

• 5 years of project leadership in a complex, matrixed environment (payer and/or provider preferred)

• 5 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders

• None

• Required:
  
  None

• None

• Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer important questions about clinical care and population health that drive the Quadruple Aim

• Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced analytics and statistics

• Excellent communication and facilitation skills with project team members, stakeholders, executives, and external customers, exceptional written and oral presentation skills, proven ability to communicate interpersonally and technically with technical and non-technical audiences, and the ability to lead through influence

• Healthcare industry expertise and experience, knowledge about the shifting healthcare environment including trends concerning health insurance, healthcare delivery, provider relationships and regulatory issues

• Sophisticated knowledge of how organizations work and how to get things done through formal and informal channels

• Exhibition of perseverance through energy, drive and demonstrated success when resistance or setbacks are…