At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. MemorialCare stands for excellence in Healthcare. Across our family of medical centers and physician groups, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Under the direction of the Director of Population Health Analytics and the Executive Director ACO, the Outcome Analyst for the ACO Department is responsible for providing analysis for the Accountable Care Organization (ACO) or other defined Value Based Initiatives / alternate payment arrangements. This position is responsible for successful preparation and analysis of timely and accurate monthly reporting of the ACO’s key metrics, financial position, quarterly & annual reporting.
This role will deliver results against population cost targets and quality measures for covered populations. The Outcome Analyst is required to understand and apply knowledge of health care reform, clinical reporting and historical and cutting edge reimbursement methods to generate complex, customized analysis and research deliverables. These deliverables are used for key decision making with material financial and clinical implications. The incumbent must be proactive in identifying issues and opportunities to enhance data management and reporting capabilities and is responsible for both detailed and high-level problem solving. He or she will focus on data analysis, database development and management, data extraction and reporting from various internal and external systems.
Essential Functions and Responsibilities of the Job * Manage a large set of data (some are raw flat file data), develop and adopt progressive models for reporting and reconciliation. Review data, generate concise reports, interpret results from analysis / reports and make actionable recommendations to non-clinical, non-financial / non-technical audience. Using a triple aim approach and deliver results to clinical operational and financial audiences. * Create monthly report packages and other performance metrics (i.e. Visibility Board, Management Summaries) to distribute to the various business operations * Ability to complete work independently and collaborate with internal and external team members and participate in ACO and/or related meetings, committees or functions. * Able to design and implement dashboard reports according to business requirements and technical specifications including generating charts and graphs that foster an understanding of actionable opportunities. * Excellent interpersonal communication (one-on-one and group) and customer service with ability to work both independently and as part of a team. * Strong analytical skills, with a proven ability to develop and document resolution of complex issues and understand and display unwarranted variation and trend analysis, examine irregularities in data. * Extremely organized, self-motivated individual able to handle fluctuating volumes of work, able to prioritize work to meet deadlines. This includes estimation of effort, time management and develop realistic timelines for projects and tasks. * Automate / enhance processes using technical skills. * Work with mathematical concepts such as probability and statistical inference to apply concepts to actionable recommendations for ACO Clinical Case Managers / Coordinators, medical staff and leadership. * Utilizes benchmarking data to evaluate current processes as they are related to operations * Develop, maintain and distribute ad-hoc reports and models as needed.
Experience * Proficient in MS Office products including Access, Excel, Outlook, PowerPoint, Visio and Word * Experience generating meaningful analysis using relational databases * Presenting / sharing analysis with clinical as well as non-clinical audience * Basic to intermediate skills with SQL and BI tools * Preferred hands-on experience with Health Catalyst, Qlik, SAP BI Suite, but not required * Packaging and distributing analysis to non-analytical team members and leadership * Minimum 5 years of experience * Familiar with Clinical acumen * Working with clinical staff is plus * Clinical Analysis is a plus
MemorialCare Medical Group is a physician-based organization established to provide advanced comprehensive, effective and efficient health care. With over 30 locations from Long Beach to Dana Point, MemorialCare Medical Group includes more than 250 physicians in the areas of internal medicine, family medicine, pediatrics, geriatric medicine, cardiology, cardio thoracic surgery, gastroenterology, neurology, pulmonology, psychiatry, psychology, rheumatology, sleep medicine and therapeutic acupuncture. In addition to multiple locations throughout Orange County, MemorialCare Medical Group offers Urgent Care Centers that are open 365 days-a-year, Telephone Advice Nurses available 24 hours-a-day, 7 days-a-week; and lab and digital X-ray services available on-site at most locations.