Program Analyst - Clinical Profiler

Department of Veterans Affairs • Anchorage, AK

39d • Onsite

About The Position

The primary purpose of this position is to perform Program Analyst duties, responsible for providing a high level of administrative and data support. Personnel assigned to this role fill a Clinic Profiler position, responsible for ensuring accurate creation, validation, and management of clinic profiles.

Responsibilities

• Clinic Profile Management: Responsible for all aspects of the clinic's setup and maintenance process. Ensures the clinic/providers profiles are set up according to the clinic structure, allowing the scheduling of patients, direct workload capture, and co-pay billing, direct MCS costing.
• Data Collection and Analysis: Assesses the optimal structure of clinics, based on national mandates and direction, the Facility's needs, provider needs, patient needs, and the data to be captured. Responsible for ensuring appointment reminder systems are set up and accurate for all outpatient clinic locations.
• Clinic Audit: Coordinates ancillary needs stemming from clinic profiles, such as encounter forms, and utilizes VistA options, including the scheduling package and reports. Utilizes VSSC Reports as a source of data concerning utilization, access, MCA stop code assignment, encounters, workload, and other data measures. Evaluates computer-generated appointment types and determines appropriate assignments of appointment type on a timely basis.
• Data Analysis/Reports: Performs data retrieval and analysis for reports; prepares reports to monitor accuracy and utilization regarding clinic profile management, and communicates to appropriate facility groups for action. Retrieves and analyzes data for the validation of clinic setup information, including billable status, count vs. non-count, DSS (MCA) identifiers, and activation of encounter forms, as well as standard naming conventions, accurate grids, and all other parameters of the clinic profile.
• Problem Solving and Clinic Audits: Identifies problems and applies analytical techniques, correcting negative trends and providing resolutions to system issues/malfunctions, to include encounter and transmission errors, clinic grids, and other issues related to clinic profile management, such as character nomenclature, length, count vs. non-count, stop code validation, appointment letter, audio reminder calls, phone validation and overbook capacity is reasonably established. Investigates complaints from internal and external customers related to the clinic profile setup and resolves the complaint or escalates to the appropriate manager.
• Training: Within the clinic profile, it creates clinic-specific special instructions, including scheduling and overbooking. Train new staff on the special instructions, proper clinic setup, requests, modifications, inactivation, and cancellations. Ensure that clinic profile mapping, scheduling procedures for all scheduling applications, overbooking, cancellations, etc., follow national directives and other facility policies.
• Clinic Maintenance and Utilization Review: Evaluates data capture outputs, including but not limited to clinic utilization, accurate clinic parameters, and program clinic naming standards, to ensure facility compliance with scheduling directives and other national guidance related to Clinic Profile Management. Routinely reviews clinic profiles, identifying and assisting staff in projecting clinic needs with grid validation and analyzing clinic utilization.
• Performs other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Administration of Human Resource Programs
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees