WVU-Population Health Strategic Analyst
WVU Medicine, Morgantown, WV, United States
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.
Minimum Qualifications 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
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
Experience
Three (3) years of healthcare analytic experience
Preferred Qualifications 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
Experience
Working knowledge of value‑based healthcare contracts/programs (e.g., pay for performance, shared savings, shared risk, full risk, etc.)
Key industry clinical quality indicators (e.g., CMS, NCQA, HEDIS, etc.)
Clinical risk adjustment methodologies (e.g., HCC, etc.) and practice
Key drivers of healthcare expenses (cost and utilization trends)
Accountable Care Organization (ACO), clinically integrated network (CIN), and/or population health, and/or health plan/insurer experience preferred
Core Duties and Responsibilities
Utilizes appropriate data to find patterns, signal improvements, and 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 that 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 or remediate 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 methodologies, etc.
Develops recommendations based on data and communicates recommendations to increase the PHSO’s positive impact of WVU Medicine and to support WVU Medicine clinicians and staff to exhibit consistent favorable performance in relation to value‑based and population health goals.
Stays informed of current and emerging analytic methodologies and tools as well as healthcare industry trends in population health, value‑based care, and alternative payment models.
Interprets and validates health insurer performance reports and provides insights regarding health insurer value‑based contract terms (e.g., metrics, targets, weighting, etc.).
Supports PHSO research efforts as requested.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Skills and Abilities
Exceptional analytic, critical thinking, and problem‑solving skills.
Strong leadership and collaboration skills.
Strong oral and written communication skills.
Strong interpersonal skills (ability to develop trusting professional relationships across various stakeholders).
Ability to empathize with others (e.g., administrators, providers, office staff, patients).
Ability to demonstrate a high level of proficiency with the Microsoft Suite and data analytic programs (e.g., Tableau, Epic Workbench, Clarity, Chronicles, SQL, etc.).
Demonstrated ability to translate data into insight and insight into shared knowledge.
Demonstrated ability to use data to establish consensus among diverse stakeholders.
Demonstrated ability to manage multiple complex projects effectively and efficiently.
Demonstrated ability to work autonomously and thrive in a fast‑paced environment.
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Minimum Qualifications 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
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
Experience
Three (3) years of healthcare analytic experience
Preferred Qualifications 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
Experience
Working knowledge of value‑based healthcare contracts/programs (e.g., pay for performance, shared savings, shared risk, full risk, etc.)
Key industry clinical quality indicators (e.g., CMS, NCQA, HEDIS, etc.)
Clinical risk adjustment methodologies (e.g., HCC, etc.) and practice
Key drivers of healthcare expenses (cost and utilization trends)
Accountable Care Organization (ACO), clinically integrated network (CIN), and/or population health, and/or health plan/insurer experience preferred
Core Duties and Responsibilities
Utilizes appropriate data to find patterns, signal improvements, and 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 that 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 or remediate 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 methodologies, etc.
Develops recommendations based on data and communicates recommendations to increase the PHSO’s positive impact of WVU Medicine and to support WVU Medicine clinicians and staff to exhibit consistent favorable performance in relation to value‑based and population health goals.
Stays informed of current and emerging analytic methodologies and tools as well as healthcare industry trends in population health, value‑based care, and alternative payment models.
Interprets and validates health insurer performance reports and provides insights regarding health insurer value‑based contract terms (e.g., metrics, targets, weighting, etc.).
Supports PHSO research efforts as requested.
Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Skills and Abilities
Exceptional analytic, critical thinking, and problem‑solving skills.
Strong leadership and collaboration skills.
Strong oral and written communication skills.
Strong interpersonal skills (ability to develop trusting professional relationships across various stakeholders).
Ability to empathize with others (e.g., administrators, providers, office staff, patients).
Ability to demonstrate a high level of proficiency with the Microsoft Suite and data analytic programs (e.g., Tableau, Epic Workbench, Clarity, Chronicles, SQL, etc.).
Demonstrated ability to translate data into insight and insight into shared knowledge.
Demonstrated ability to use data to establish consensus among diverse stakeholders.
Demonstrated ability to manage multiple complex projects effectively and efficiently.
Demonstrated ability to work autonomously and thrive in a fast‑paced environment.
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