Clinical Outcomes Analyst

Houston Methodist•Houston, TX

About The Position

Clinical Outcomes Analyst FLSA STATUS Exempt QUALIFICATIONS EDUCATION Bachelor’s degree in business, statistics, finance, healthcare administration or related field Master’s degree preferred EXPERIENCE Minimum of two years of experience in an analyst or related role Experience in health care preferred SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles General knowledge of statistical analysis techniques General knowledge of Performance Improvement methodologies Skill in general use of spreadsheet, relational database and word-processing software Knowledge of database design and database query languages in use at Houston Methodist preferred Ability to independently analyze and solve problems Interpersonal skills for interfacing with all levels of customers and collaborating across clinical and non-clinical departments Ability to multi-task with good attention to detail Ability to enhance reporting effectiveness and efficiency ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Proactively and effectively develops and maintains collaborative relationships with physicians, nursing, entity leaders, and their employees. Participates in making recommendations for improving working relationships in the work area. Coordinates and facilitates the relationships between the various departments, committees, and taskforces necessary to implement quality improvement measurement initiatives. SERVICE ESSENTIAL FUNCTIONS Participates in project team meetings, interacts to advance projects and partners with internal customers to provide timely and accurate reports to physicians, nursing and entity leaders. Effectively organizes and documents responsibilities and other activities for accomplishment in a timely manner; meets deadlines. QUALITY/SAFETY ESSENTIAL FUNCTIONS Develops and presents logical and comprehensive analyses evaluating performance utilizing applicable databases, reporting systems, and/or external benchmarking systems as appropriate. Exhibits knowledge of and utilizes available databases/data sources for statistical reporting and data extraction as needed. Utilizes understanding of facility department structure and patient data flow as well as department work flows. Sets standards for the measurement, analysis, and reporting of adverse trends for review by appropriate stakeholders and assists in development of action plans for resolution as needed. Develops and manages the appropriate processes and tools needed for gathering PI/QI driven datasets to assist leadership in the enhancement of quality improvement strategies. Identifies and reports quality and performance improvement opportunities through analysis of HM and benchmark data. Supports HM external benchmarking initiatives and compliance of reporting. FINANCE ESSENTIAL FUNCTIONS Understands hospital billing/reimbursement system as it relates to the departmental scope and utilizes all available Houston Methodist sources in evaluating clinical and financial performance. Identifies cost saving and efficiency opportunities throughout the system and develops monitoring and reporting mechanisms to present to and share with the leadership as appropriate. Maintains current knowledge of external agencies and reporting organizations, federal and state regulatory requirements, health plan, billing and reimbursement as needed. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Generates and communicates new ideas and suggestions that improve quality, service, or finance. Maintains professional growth and development through seminars, workshops, professional affiliations, etc. to keep abreast of the latest trends in healthcare as relevant.

Requirements

Bachelor’s degree in business, statistics, finance, healthcare administration or related field
Minimum of two years of experience in an analyst or related role
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
General knowledge of statistical analysis techniques
General knowledge of Performance Improvement methodologies
Skill in general use of spreadsheet, relational database and word-processing software
Ability to independently analyze and solve problems
Interpersonal skills for interfacing with all levels of customers and collaborating across clinical and non-clinical departments
Ability to multi-task with good attention to detail
Ability to enhance reporting effectiveness and efficiency

Nice To Haves

Master’s degree preferred
Experience in health care preferred
Knowledge of database design and database query languages in use at Houston Methodist preferred

Responsibilities

Proactively and effectively develops and maintains collaborative relationships with physicians, nursing, entity leaders, and their employees.
Participates in making recommendations for improving working relationships in the work area.
Coordinates and facilitates the relationships between the various departments, committees, and taskforces necessary to implement quality improvement measurement initiatives.
Participates in project team meetings, interacts to advance projects and partners with internal customers to provide timely and accurate reports to physicians, nursing and entity leaders.
Effectively organizes and documents responsibilities and other activities for accomplishment in a timely manner; meets deadlines.
Develops and presents logical and comprehensive analyses evaluating performance utilizing applicable databases, reporting systems, and/or external benchmarking systems as appropriate.
Exhibits knowledge of and utilizes available databases/data sources for statistical reporting and data extraction as needed.
Utilizes understanding of facility department structure and patient data flow as well as department work flows.
Sets standards for the measurement, analysis, and reporting of adverse trends for review by appropriate stakeholders and assists in development of action plans for resolution as needed.
Develops and manages the appropriate processes and tools needed for gathering PI/QI driven datasets to assist leadership in the enhancement of quality improvement strategies.
Identifies and reports quality and performance improvement opportunities through analysis of HM and benchmark data.
Supports HM external benchmarking initiatives and compliance of reporting.
Understands hospital billing/reimbursement system as it relates to the departmental scope and utilizes all available Houston Methodist sources in evaluating clinical and financial performance.
Identifies cost saving and efficiency opportunities throughout the system and develops monitoring and reporting mechanisms to present to and share with the leadership as appropriate.
Maintains current knowledge of external agencies and reporting organizations, federal and state regulatory requirements, health plan, billing and reimbursement as needed.
Generates and communicates new ideas and suggestions that improve quality, service, or finance.
Maintains professional growth and development through seminars, workshops, professional affiliations, etc. to keep abreast of the latest trends in healthcare as relevant.