Senior Clinical Data Analyst

Job Description

Job Description

Responsibilities

Job Summary

The Senior Clinical Data Analyst supports the Director of Quality as the resource for data collection and analytics related to key functions of the organization, including but not limited to: clinical outcomes, health care service utilization and customer satisfaction. The analyses created will support regulatory reporting as well as support the creation of data-driven interventions and assessment for performance improvement activities throughout the enterprise.

Physical attendance at an InnovAge facility and/or an InnovAge participant home is essential to performing the job duties.

Essential Functions and Work Responsibilities

Functional Category: Data Analytics and Reporting

Estimated Percent of time Spent – 65%

• Serves as the Senior Data Clinical Analyst for the Quality Department, leading enterprise-wide ongoing and ad-hoc data projects on behalf of Director of Quality.
• Synthesizes several data sources to report quality and performance metrics in an accurate and timely manner to appropriate regulatory agencies and organizational senior leadership. Data sources include, but are not limited to: claims data, service utilization reporting, electronic medical records data, enrollment data and reported incidents and grievances.
• Develops and executes data analyses to support clinical quality improvement, care management, utilization management in collaboration with clinical leadership
• Possesses a strong working knowledge and experience with nationally-recognized health care quality metrics and benchmarking strategies
• Performs concurrent review and retrospective in-depth analysis of patient records and claims data for purposes of identifying quality improvement opportunities.
• Develops and maintains a data repository, serving as a “source of truth” for organization-wide measures of quality. Improves the validity and effectiveness of the data repository over time.
• Develops, maintains and improves a key performance indicators (KPI) data dashboard for use by senior management to track and trend organization-wide performance.
• Manages external contractors, such as HEDIS abstractors and CAHPS survey organizations to ensure data collection methodology is aligned with nationally-recognized quality standards.
• Ensures that all regulatory data reporting is submitted accurately and on time.

Functional Category: Additional Duties

Estimated Percent of time Spent – 35%

• Generates data analyses and reports for presentation to select audiences; including company senior leadership, Board members, clinicians and the general public. Possesses strong presentation skills; presenting results orally, in writing and visually for review by both subject matter experts as well as lay people.
• Serves as the organization-wide content expert across all lines of business, for measurement and analysis methods and imparts knowledge of methods for data collection, implications for research and opportunities for data-driven improvements to senior leaders and quality staff. Continually expands & updates this knowledge.
• Interacts frequently with leadership and quality personnel, including Infection Control, Risk Management, Compliance, Home Care, etc. Facilitates discussions with these stakeholders of existing data, reports, and analyses while assessing unmet needs and potential enhancements. Advises on trends and helps coordinate project teams to improve processes.

Travel Requirements

Travel

• Travel required
• Overnight travel out of state

Relocation

• Must be open to relocation based on business necessity

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

REQUIRED

Education

• Bachelor’s degree in research, statistics, health administration, or a related field from an accredited college/university.

Licensure, Certification, Registration or Designation

• Requires state issued driver’s license, personal transportation, good driving record and auto insurance as required by law.

 

Work Experience and Qualifications

 

• Minimum of three years of experience with data analysis.

• Working knowledge of healthcare industry measures of customer satisfaction, clinical performance, and financial measures, including CAHPS, HEDIS, and other common health care metrics.
• Minimum of 3 years of working experience with nationally recognized health care metrics and performance measurement strategies.
• Minimum of 3 years experience with generating and ensuring accurate and easily understood data analyses and presenting results orally, in writing and in graphs for review by both subject matter experts as well as lay people.
• Experience with obtaining and manipulating health care claims data, clinical values data, enrollment data and survey data.

 

PREFERRED

Education

• Master’s degree in related field

Other Knowledge Skills and Abilities Required

Computer Skills
• Mastery of desktop applications, including MS Office (Word, Excel and PowerPoint)
• Advanced skills using Excel, Access, SQL and other databases. Skills required include, but are not limited to : construction and use of pivot tables, use of advanced formulas and use of VBA and Macros
• Experience with other statistical analysis programs, such as Minitab, SPSS, SAS, MS Access and/or QI Macros
• Must be able to quickly learn specific software and new applications.

Mathematical/Financial Skills
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Able to analyze data and statistics and draw reasonable conclusions and compile accurate reports.

Language Skills
• Ability to read, analyze and interpret regulations and other documents.
• Strong interpersonal skills and ability to effectively and tactfully present information to, and communicate with, co-workers, employees, and others.
• Possess exceptional English written and verbal communication skills, including accurate grammar and business correspondence knowledge.
• Ability to read and write memos, reports, and correspondence that conform to prescribed style and format.

Reasoning Ability
• Ability to define problems, collects data, establish facts, and draw valid conclusions.

Other Skills and Abilities:
• Able to establish and maintain cooperative and positive working relationships.
• Organized, detail-oriented, diplomatic, proactive, self-motivated, dependable, and driven by excellence.
• Even-tempered and able to balance multiple tasks in accordance with changing deadlines and priorities in a fast-paced environment.
• Ability to work sensitively and effectively with individuals of diverse ethnic and cultural backgrounds.

InnovAge Service Standards Requirements
Safety
• Safety- Maintains a safe work place. Reports all unsafe work conditions to supervisor and/or Safety & Loss Control Manager and works in conjunction with supervisor, Safety & Loss Control Manager, and staff to correct unsafe work conditions. Follows and enforces all safety policies.
Accountability
• Commitment – Commits to his/her job and to the success of the company. Continuously puts forth the effort to achieve goals and continuous quality improvement. Degree to which employee goes the extra step to ensure job/task completion. Takes initiative to offer ideas to improve processes or results.
• Cooperativeness – Consistently supports management decisions as demonstrated by his/her actions. Demonstrates a “can do” attitude by responding positively to instructions. Follows instructions and works harmoniously with others to complete the job or task.
• Attendance – Meets or exceeds punctuality and attendance expectations/requirements. Faithfully reports to work and conforms to scheduled work hours. When necessitated, follows call-in procedures and informs others of absences.
Caring
• Customer Service - Embraces the organization's commitment to internal and external customer service and demonstrates a customer-centric approach when interacting with co-workers, participants, clients, and all other business contacts.
• Confidentiality – Maintains confidentiality of employee, participant, and client data/information, and any other sensitive organization information as appropriate.
Integrity
• Adherence to Company Policy – Follows and enforces guidelines as established by policies. Conforms to company and job standards and requirements. Shows respect for others. Acts in the best interests of the company at all times. Serves as an example for others. Conducts business in an ethical fashion.
• Reliability – Completes responsibilities with minimal direct supervision. Follows through with assigned jobs and tasks all the way through completion. Puts forth the effort to achieve goals and objectives under varying circumstances.
• Alignment with Company Goals & Objectives – Supports the organization’s mission, vision, and values and holding self-accountable for applying these principles daily and personally living them when working with co workers, participants, clients, and all other business contacts.
Quality
• Quantity of Work / Productivity – Produces at a high volume. Always puts forth the effort to maximize productivity. Meets or exceeds established work deadlines. Engages in a productive work effort whenever possible. Meets goals and objectives.
• Quality of Work – Produces work that is accurate and reliable. Accomplishes work quickly and efficiently. Works in a thorough and organized manner while minimizing down time. Results are consistently within acceptable quality standards.
• Job Knowledge – Demonstrates a thorough understanding of his/her job processes and procedures. Integrates knowledge to efficiently accomplish job requirements. Efficiently uses resources (including staff and management) to obtain additional knowledge.
• Communication – Exhibits good interpersonal skills. Develops and fosters professional relationships with co-workers, participants, clients, and vendors. Keeps others informed as directed by operational demands and need-to-know. Keeps self informed of announcement made via established company venues

Physical Demands /Work Environment

PHYSICAL DEMANDS
Must possess mobility to work in a standard office setting, or clinical setting, and use standard office equipment, including a computer, and medical equipment; vision to assess emergency situations, including medical incidents and to read printed materials and a computer screen; and hearing and speech to communicate in person, before groups, and over the telephone. Depending on assignment, standing in work areas and walking between work areas may be required, and travel to visit various cultural, physical, behavioral and environmental settings may be required. Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard, typewriter keyboard, or calculator and to operate standard office and medical equipment. Positions in this classification occasionally bend, stoop, kneel, reach, push, and pull drawers open and closed. Reasonable accommodations will be made for individuals on a case-by-case basis.

WORKING CONDITIONS
Employees primarily work in an office environment with moderate noise levels and fluctuating indoor temperatures. Employees may work outdoors and are occasionally exposed to loud noise levels and cold and/or hot temperatures. Incumbents may be exposed to blood and body fluids while working in a Center. Employees may interact with members of the public or with staff under emotionally stressful conditions while interpreting and enforcing departmental policies and procedures.

STRESS FACTORS
May require working under stressful conditions with pressure to meet scheduled deadlines. There may be distractions such as phone calls, work interruptions, and communication from co-workers and participants with the need to respond and intervene appropriately to multiple interruptions.

The pay offered for the position will take into consideration the candidate’s geographic region, job-related knowledge, skills, experience, and internal equity, among other factors. InnovAge offers a comprehensive benefit package which includes medical, dental and vision insurance, short and long-term disability, life insurance and add, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company paid holidays.