Sr. Healthcare Analyst

Beth Israel Lahey Health•Wakefield, MA

21h

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Under the general supervision of the Director, Performance Analytics and Reporting, the Sr. Healthcare Analyst will provide data analysis and reporting that answer questions about most pressing healthcare needs to various stakeholders across the organization in an accurate, reliable, and timely fashion. The areas of focus will include population health in terms of financial efficiency and quality improvements, opportunities design and specialty variation for multiple population cohorts. This role requires working with multiple sources of healthcare data (ex: claims, financial, and clinical data) to meet both internal and external reporting requirements. Projects range from simple programming and basic data manipulation/analysis to more advanced and predictive analytics. Sr. Healthcare Analyst provides information to leadership and utilizes subject matter expertise as well as exceptional analytic skills with a focus on a specific population or medical category to design and deliver analytic products that will help leadership make decision to drive change. S/he leads junior analysts/other team members in setting definitions and efficient ways to analyze various healthcare concepts, assist in translating the analytical requirements into easy to follow data directions, is able to forecast and model future medical expenses, understands the impact of risk adjustment on financial results and assists in finding physicians’ performance related efficiencies by guiding others into desired area of opportunity. Handles the data with confidentiality especially around PHI and sensitive information. This position is responsible for a full range of activities which ensure the analytical effectiveness and excellence of the BILHPN team.

Requirements

Bachelor's degree required
5-8 years of experience required
5+ years of experience working in a health care analytics role, preferably in a managed care insurance or provider environment
Strong attention to detail and an in-depth knowledge of healthcare concepts
Strong written and verbal communication skills
Strong problem solving abilities and analytical skills to ensure end-user needs are met.
Possesses good organizational skills and the ability to multitask and prioritize daily assignments to ensure smooth work flow
Knowledge of industry standards and practices
Knowledge of statistical analyses including opportunity assessments, clinical and financial risk tracking, trend identification and predictive modelling
Advanced Excel Skills, demonstrated ability in using query tools and relational databases such as SQL or Microsoft Access
Knowledge of claims based health care data, including medical terminology and standard coding systems (CD10, CPT, MS-DRG, etc.)
Practical problem solving abilities, i.e. the ability to formulate hypotheses, test options and move forward in a fast-paced environment
Ability to manage multiple projects simultaneously, set priorities, and collaborate with team members and others throughout the organization
Self-motivated, resourceful, and able to take initiative
Ability to work both independently and as part of a team essential

Nice To Haves

a Master's degree preferred
Prior experience from the payers or other provider system a plus

Responsibilities

Work with a variety of tools (ex: SQL, Excel, Access, Tableau, etc.) to access data, write queries, develop programming logic, organize data, manipulate, and analyze large datasets.
Integrate other data sources into applicable analyses.
Present analytical findings in a variety of formats (reports, PowerPoint, Tableau, graphs, figures, and tables), formulate recommendations, and effectively present results and recommendations to non-analytic audiences.
Build and foster relationships with senior leadership/physicians and key stakeholders to understand multifaceted business problems and develop analytical solutions to complex issues to satisfy reporting and analytical needs.
Perform own quality checks on performed analyses and utilize internal benchmarks to verify the results and perform quality checks on analyses performed by junior analysts/other team members.
Incorporate CHIA cost relativity benchmarks into analyses when appropriate.
Document performed processes and assure the correct documentation exists and is appended to the analyses.
Collaborate with the Medical Director(s) and business associates (e.g., healthcare plan, PBM, consultants) to define the best approaches to find areas for improvement and trend mitigations.
Serve as analytical resource and internal consultant for organization’s multidisciplinary quality and utilization improvement initiatives.
Design analyses that calculate cost savings opportunities for BILHPN’s population(s) or specific population segments by utilizing future and retrospective risk scores and other financial adjustments.
Provide clinical and administrative leaders with routine and timely updates on key clinical quality and utilization indicators at the network/population/service category level.
Prepare reporting package for the Board of Directors and other Senior Executives.
Collaborate with others to identify, understand and promote opportunities to analyze data more efficiently and accurately.
Lead and guide the development of analyses to produce meaningful information.
Assist the Dir, Performance Analytics and Reporting in training junior analysts/other team members, recommend appropriate training sessions or occasionally prepare and run the training.
Take initiative and proactively suggest which areas of healthcare trends need to be analyzed at a deeper level and stay on top on industry specific development.
Perform other related tasks as necessary.
Maintain strict adherence to the Lahey Health Confidentiality policy.
Incorporate Lahey Health Standards of Behavior and Guiding Principles into daily activities.
Comply with all Lahey Health Policies.
Comply with behavioral expectations of the department and Lahey Health.
Maintain courteous and effective interactions with colleagues and patients.
Demonstrate an understanding of the job description, performance expectations, and competency assessment.
Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
Participate in departmental and/or interdepartmental quality improvement activities.
Participate in and successfully completes Mandatory Education.
Perform all other duties as needed or directed to meet the needs of the department.