Paducah, Kentucky
Decision Support Analyst CIN/ACO Job Opening in Paducah, Kentucky - Position Summary: Under direction from the Coordinator of Clinical Outcomes CIN and ACO Director of Strategic Projects, this position is responsible for successful preparation and analysis of timely and accurate monthly reporting of the CIN/ACO?s key metrics, financial position, and quarterly & annual reporting. This role will provide support and network-wide accountable care financial performance analysis to deliver results against population cost targets and quality measures for covered populations. The CIN/ACO Analyst is required to understand and apply knowledge of health care reform, managed care contracting and historical and cutting-edge reimbursement methods to generate complex, customized analysis and research deliverables. These deliverables are used for key decision making with material financial and clinical implications. The incumbent must be proactive in identifying issues and opportunities to enhance data management and reporting capabilities and is responsible for both detailed and high-level problem solving. He or she will focus on data analysis, database development and management, data extraction and reporting from various internal and external systems. Works with members of the Clinical Integration Network and Accountable Care Organization to assure data transmission on a timely basis and conducts user acceptance testing as directed. Maintains a positive relationship with Internal IT support and External IT vendors, CIN and ACO staff and physicians, hospital staff and physician leadership. Assists with all clinical end-user training/ongoing education for clinical systems. Serves as a resource for the daily operational issues of clinical system applications for the CIN and ACO.
Qualifications and Accountability: Minimum of BA/BS in Healthcare or Business related field and work with physician alignment strategies is a benefit. Work within a multi-hospital health system is preferred. The physician alignment experience should include working with physician leaders, hospital administrators, and medical group governance in progressively responsible positions where collaboration, problem solving, conflict resolution, and cooperative efforts are requisite to developing plans and accomplishing goals. Proficient with Excel, Access, Word, PowerPoint and reporting tools such as Epic Reports and BI tools.
Principle Duties and Responsibilities:
High tolerance for complex, ambiguous, and rapidly changing environments. Individual must be comfortable in an environment characterized by rapidly changing priorities, inherent complexity, demanding timelines, and multiple stakeholders.
Manage a large set of data (some are raw flat file data), develop and adopt progressive models for reporting and reconciliation. Review data, generate concise reports, interpret results from analysis/reports and make actionable recommendations to audience. Use a triple aim approach and deliver results to clinical operational, and financial audiences.
Analyze quarterly and annual reports and financial statements from various payers including projection, reconciliation, trends, and research outliers/patterns.
Create monthly report packages and other performance metrics (i.e. Visibility Board, Management Summaries) to distribute to the various business operations including monthly cost analysis to identify high cost areas.
Analyzes monthly payer reports.
Ability to complete work independently and collaborate with internal and external team members and participate in CIN/ACO and/or related meetings, committees or functions.
Able to design and implement dashboard reports according to business requirements and technical specifications including generating charts and graphs that foster an understanding of actionable opportunities.
Excellent interpersonal communication (one-on-one and group) and customer service with ability to work both independently and as part of a team.
Strong analytical skills, with a proven ability to develop and document resolution of complex issues and understand and display unwarranted variation and trend analysis, examine irregularities in data.
Extremely organized, self-motivated individual able to handle fluctuating volumes of work, able to prioritize work to meet deadlines including estimation of effort, time management, and develop of realistic timelines for projects and tasks.
Automate/enhance processes using technical skills.
Work with mathematical concepts such as probability and statistical inference to apply concepts to actionable recommendations for CIN/ACO, Clinical Case , medical staff and leadership.
Utilizes benchmarking data to evaluate current processes as they are related to operations.
Prepares forecasts based on current reimbursement trends and information gathered from internal/external sources.
Research and analyze historical revenue and cost data to project budget for the next fiscal year.
Develop, maintain and distribute ad-hoc reports and financial models as needed.
Other duties as assigned.
Job Type: Full-time
Required education:
Bachelor's
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