Population Health Reporting Specialist

UMC Health System•Richmond, KY

About The Position

The Population Health Reporting Specialist develops, maintains, and enhances financial, operational, and quality reporting tools and dashboards supporting population health initiatives, value-based care programs, and organizational performance monitoring. The role collects, validates, and consolidates data from internal and external sources to deliver accurate and timely reporting for clinical operations, quality improvement, and financial incentive tracking. The position reports to the VP, Supplemental Revenue Programs and collaborates with clinical, operational, financial, information technology, and external partner teams.

Requirements

Bachelor's degree in Business Administration, Healthcare Administration, Finance, Accounting, Information Systems, Data Analytics, or a related field, or an equivalent combination of education and relevant work experience.
At least three years of experience in data reporting, financial reporting, business analytics, healthcare operations, or a related field.
Demonstrated experience developing, maintaining, and validating reports using Microsoft Excel and other reporting tools.
Experience collecting, consolidating, and reconciling data from multiple sources to ensure accuracy and consistency.
Experience independently managing recurring reporting responsibilities, deadlines, and data requests.
Advanced proficiency in Microsoft Excel, including pivot tables, lookup functions, formulas, and data manipulation.
Strong attention to detail and ability to validate and reconcile complex data.
Ability to organize, interpret, and present information in clear, meaningful reports and dashboards.
Strong analytical, organizational, and problem-solving skills.
Ability to work with multiple data sources and reporting formats.
Ability to identify opportunities to improve reporting processes and increase efficiency through automation.
Effective written and verbal communication skills.
Ability to collaborate with clinical, operational, financial, and information technology teams.
Ability to prioritize multiple assignments, meet established deadlines, and work independently with minimal supervision.
Ability to maintain confidentiality and appropriately handle sensitive financial and patient information.
Must be available to work 8:00 a.m. to 5:00 p.m. Monday through Friday, plus after hours as needed, and be available by pager or cellphone as needed.
Physical capability to occasionally exert up to 25 pounds of force and/or frequently exert a small amount of force to lift, carry, push, pull, and move objects; work involves sitting most of the time, with brief periods of walking or standing, frequent typing/keyboarding, and some reaching in all directions.

Nice To Haves

Experience in a healthcare organization, health plan, or population health environment.
Familiarity with value-based care programs, healthcare quality measures, pay-for-performance initiatives, or gaps-in-care reporting.
Experience developing dashboards using Power BI, Epic reporting tools, or similar business intelligence platforms.
Experience with financial incentive programs, provider reimbursement reporting, or performance-based payment tracking.

Responsibilities

Develop, maintain, and enhance dashboards and reporting tools covering financial, operational, and quality performance, including Value-Based Care Accounting, Social Determinants of Health, Diabetes Education Programs, and other population health initiatives.
Collaborate with internal departments and Information Technology to automate data collection and improve reporting efficiency.
Collect, consolidate, and validate data from internal and external sources for accurate and timely performance reporting.
Maintain the Population Health Dashboard by incorporating departmental data and developing automated reporting solutions through Epic and other available systems.
Coordinate the collection, review, and validation of hospital quality measure data for reporting to the Texas Health and Human Services Commission, including TIPPS and CHIRP programs.
Collaborate with Information Technology to develop and maintain reports for quality measure tracking and monitoring improvement progress.
Develop and maintain bi-weekly reporting and dashboards for pay-for-performance quality measures.
Prepare and distribute performance reports to operational teams, highlighting progress toward goals and measures requiring attention.
Participate in discussions with operational teams to review performance results and support strategies for achieving quality measure targets.
Develop and maintain monthly gaps-in-care worklists using quality data and reports from contracted health plans and payer reporting systems.
Consolidate payer data and Care Coordination documentation to identify outstanding care opportunities and support patient outreach.
Maintain and update KPI reports and tracking tools for quality performance and care gap closure.
Participate in quarterly payer quality performance meetings to review reporting requirements, results, and improvement opportunities.
Develop, maintain, and distribute clinic-level reports, including blood pressure control, transitional care management, collections, RVUs, and other operational and quality measures.
Calculate and validate provider incentive payments under the Attestation Incentive Program for applicable annual, semiannual, or quarterly payment cycles.
Coordinate with Accounting to facilitate timely and accurate provider incentive payments by check or ACH.
Develop and maintain financial tracking reports for value-based care contracts, including potential incentive opportunities, projected earnings, actual earnings, and payment reconciliation.
Maintain financial tracking, accounting documentation, and reporting processes associated with UMC Health Network.
Prepare financial performance summaries to monitor value-based care reimbursement opportunities and program results.
Ensure assigned financial, operational, and quality reports are accurate, consistent, complete, and delivered on time.
Identify opportunities to standardize reporting, improve data reliability, reduce manual data collection, and enhance operational efficiency.
Collaborate with Accounting, Information Technology, hospital leadership, clinical operations, Care Coordination, and external partners to support reporting requirements and organizational objectives.
Maintain organized records, supporting documentation, reporting methodologies, and established procedures.
Perform other duties as assigned.