Healthcare Data Analyst at Southwestern Health Resources CIN in Farmers Branch, Texas

Job Description:

Healthcare Data Analyst/Quality Data Specialist

Southwestern Health Resources, a national leader in population health, is looking for a qualified Quality Data Specialist to join our Quality team.

If you're looking for a rewarding career at a patient-centered organization with work-life balance and comprehensive benefits, we want to hear from you.

Position Highlights

• Work location: This position is a Remote / Work from Home Opportunity
  
  
  
  • Travel required to office at SWHR Corporate Headquarters, 1603 LBJ Freeway, Farmers Branch, Texas 75234 as requested
    
    
  
  
• Work environment: Quality
  
  
• Work hours: Full-time, 40 hours weekly, Monday through Friday, 8 a.m.-5 p.m.
  
  
• Salary range: $21.42 - $35.20 per hour (based on relevant experience)

Please note: The Quality Data Specialist is employed by SWHR. SWHR is a clinically integrated network formed by Texas Health and UT Southwestern.

Southwestern Health Resources (SWHR) is a patient-centered clinically integrated network of 29 hospital locations and more than 5,500 physicians and other clinicians. Formed by Texas Health and UT Southwestern, two of the region's leading healthcare systems, SWHR delivers nationally preeminent, highest-quality care in 16 counties across North Texas. SWHR is also the parent organization of Care N' Care Insurance Co., a regional Medicare Advantage Plan serving more than 13,500 members in the region.

The SWHR network includes physicians from UT Southwestern and Texas Health, and independent community primary care and specialty physicians. In partnership, our team implements physician-driven, value-based care strategies to coordinate care for more than 700,000 patients, resulting in lower costs and high-quality care. In 2020, the Centers for Medicare & Medicaid Services released the annual financial and quality results and, based on the report, SWHR is one of the nation's leading Next Generation Accountable Care Organizations, having saved nearly $120 million since joining the program in 2017.

Qualifications

• Bachelor's Degree Computer Science, Public Health, Business Management, Information Services Required
  
  
• 2 years' experience with Healthcare-Related Reporting, Analytics, and Data Analyst Work Required
  
  
• 2 years' experience with Data Collection and Analysis Working with Large Data Sets Preferred
  
  

Position Responsibilities SWHR Quality Data Specialist will be responsible for

Quality Performance Monitoring/Management
Responsible for data collection and interpretation in Value Based Care Data analysis across assigned Quality contracts and the Health Plan. Responsible for managing supplemental data processes with Data Analytics to assist in monitoring contractual performance for SWHR value based care contracts and Health plan to/lead UAT efforts with Data analytics and Audit teams.
Responsible for ensuring data integrity of Healthplan/payer provider, clinical and member data, etc to vendors. Collaborate with internal and external stakeholders to coordinate data flow between internal teams and external payors and/or vendors. Lead projects and initiatives that impact quality performance across ACO payers and the Health Plan. Identify, communicate and assist with the resolution of data gaps that impede the fulfillment of operational reporting and oversight.

Quality Reporting
In collaboration with Analytics and vendors, develop/maintain dashboards to measure performance and assist in directing strategic direction of Quality & PI efforts towards initiatives with the largest impact. Perform UAT on new data and dashboard development to ensure data integrity for quality initiative efforts. Lead the development of Quality Dashboards and/or other reporting tools. Other duties as assigned.

Quality Analysis
Provide analysis of HEDIS & Stars measures, trends, barriers, and opportunities and present results of improvement efforts and ongoing performance measures. Perform independent ad-hoc analysis for internal and external stakeholders related to CMS stars & develop reports to present results of analysis. Interpret results and preparation of data findings in easily understandable format for varying levels of internal partners and for presentation to external partners. Subject matter expert to understanding quality technical specifications related to HEDIS/ ECDS and or other regulatory/accreditation needs.

In addition to the required qualifications, a successful Quality Data Specialist will:

• Experience in interpreting, analyzing, and providing recommendations regarding data accuracy and data collection needs and processes.
  
  
• Ability to work independently with minimal supervision.
  
  
• Ability to exercise discretion and maintain accountability while working with member-identifiable health information.
  
  
• Ability to work with cross functional teams, proven analytical skills and evidence of creative proactive problem solving.
  
  
• Effective communication skills with presenting data analysis results to various audiences to translate complicated data into useable information as well as identify and assess problems.
  
  
• Demonstrated ability to learn additional software and master new concepts quickly.
  
  
• Experience with access databases and visual basics
  
  
• Advanced excel and spreadsheet skills
  
  
• Knowledge of industry standards including but not limited to NCQA, CMS, NQF, and AHRQ
  
  
• Excellent verbal and written communication skills; outstanding interpersonal skills; the ability to relate positively with individuals at all levels both internally and externally
  
  
• Accountable for delivering high quality work with a commitment to service excellence
  
  

Why Southwestern Health Resources
As a Southwestern Health Resources you'll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Moving healthcare forward
At the heart of SWHR are people who help people. We care about those we serve and each other. To be the national leader in providing population-based healthcare, our more than 850 employees use their knowledge, data insights and clinical experience to deliver care to the right patient, at the right time and in the right setting. By connecting physicians to patients and clinical insights to better outcomes, SWHR lowers costs, optimizes value, and builds a better healthcare system for all.

We invite you to learn more about us at www.southwesternhealth.org.

Let's move healthcare forward - together.

Highlights:

• Combining the strengths of UT Southwestern Medical Center, Texas Health Resources and more than 2,500 community physicians, we offer the largest provider network in North Texas. SWHR covers approximately 700,000 patient members across 16 counties in North Texas.
  
  
• SWHR is the parent organization of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas.
  
  

Additional perks of being a SWHR Quality Data Specialist

• Gain a sense of accomplishment by contributing in a teamwork environment
  
  
• Positively impact patients' quality of life
  
  
• Receive excellent mentorship, comprehensive training and dedicated clinical leadership resources
  
  
• Enjoy opportunities for growth
  
  

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org.

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