WVU-Population Health Strategic Analyst

Overview

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The Population Health Strategic Analyst will utilize their analytical skills to collect, clean, analyze and interpret large data sets to build tools to create business solutions by using various reporting tools (Tableau, Epic Workbench, Clarity, Chronicles, etc.). They will structure analyses to monitor and forecast WVU Medicine’s performance in relation to the key drivers of success in value-based contracts (e.g., cost, utilization, quality, coding and documentation accuracy).

Using data and analytical tools, the analyst will collaborate with Population Health Services Organization (PSHO) leaders to structure initiatives to improve or maintain performance in relation to targets / goals and to track the impact of implemented initiatives.

Education, Certification, Experience, and/or Licensure:

• Bachelor’s Degree in a relevant field of study (e.g., Actuarial Sciences, Business [Accounting, Economics, Finance, Marketing, etc.], Computer Science, Mathematics, etc.) with seven (7) years of general analytic experience.

OR

• Master’s Degree in a relevant field of study (e.g., Actuarial Sciences, Business Administration, Computer Science, Mathematics, Healthcare Administration, Public Health, etc.) with five (5) years of general analytic experience.

• Three (3) years of healthcare analytic experience.

Education, Certification, Experience, and/or Licensure:

• PhD in a relevant field of study (e.g., Actuarial Sciences, Business Administration, Computer Science, Mathematics, Healthcare Administration, Public Health, etc.) preferred.

• Working knowledge of:
  • Value-based healthcare contracts/programs (e.g., pay for performance, shared savings, shared risk, full risk, etc.).
  • Value-based healthcare programs (e.g., MSSP, TEAM, Medicare Advantage, etc.).
  • Key industry clinical quality indicators (e.g., CMS, NCQA, HEDIS, etc.).
  • Clinical risk adjustment methodologies (e.g., HCC, etc.) and practices.
  • The key drivers of healthcare expenses (i.e., cost and utilization trends).
  • Accountable care organization (ACO), clinically integrated network (CIN), and/or population health, and/or health plan/insurer experience preferred.

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Utilizes appropriate data to find patterns, signal improvements, and/or proactively react to trends to allow Population Health Services Organization (PHSO) leadership to develop analytic strategies to influence WVUHS population health goals.
• Develops, monitors, and communicates progress (including relevant interdependencies) in relation to project plans related to PHSO analytics.
• Cleans and analyzes data to develop tools, models or dashboards to create data visualizations to support the story and drive actionable insights.
• Supports PHSO leaders and operators in forecasting WVU Medicine / PHSO performance in relation to value-based and population health goals.
• Performs and interprets comparative analyses to highlight variance in performance across geographies, clinics, providers, etc.
• Utilizes given data and built tools to interpret root cause analyses to identify key drivers of performance outliers (both favorable and unfavorable) and supports operational leaders in defining initiatives to propagate (favorable) or remediate (unfavorable) performance.
• Supports PHSO leaders and operators in defining key performance indicators by providing insights through data and developing reports to track the impact of PHSO and the success of its initiatives.
• Reviews and validates health insurer reports and supports PHSO leaders in communicating concerns related to the validity of reported performance, measurement…