Sr Clinical Data Analyst

Bon Secours Mercy Health
Bon Secours Mercy Health

Job Overview

**Thank you for considering a career at** **Bon Secours Mercy Health!**Lead team member responsible for coordinating and assisting in the computer systems, programs and related data for the Managed Care Analytics and Insights department of Bon Secours Mercy Health. This position is responsible for analysis of data and maintains department databases with the specific purpose of providing statistical, aggregate and trending data for quality improvement and management of risk issues and disseminating data findings.**Essential Job Functions**Performs financial analyses on contract activity for hospitals and physicians, including volumes of services, volume and profitability trends, cost and charge structures, volume and profitability by service and by contract, payer migration studies, and other analyses necessary to support the accuracy and profitability of managed care contracting initiatives. Including the quarterly creation of the Value Based Contract summary.Assists System Director with obtaining and distributing insurance provider reports/data, running reports in various applications and report writing as requested.Interfaces with the various markets, insurance providers and key data collectors, to facilitate data integrity and validity of quality data.Develops quality, cost, and utilization reports and presentations for department to convey quality performance to the market and corporate leadership teams.Responsible for managing the data flow of information from both BSMH Pay for Performance and CPC+ payersReconciles payer information with internal data sourcesCollaborates with the Advanced Analytics, Data Transfer and Finance Teams to create actionable reports or report cards to support practice transformation activitiesAlong with Leadership, participates in audits and reconciliation activities with CMS and private payersIn collaboration with the financial analyst and business analyst, Integrates BSMH Pay for Performance and CPC+ results into overall system value based contract reporting.Coordinate with System Director to monitor contracted quality initiatives for updates and changes as defined by regulatory or quality agencies on an ongoing basis.Maintains knowledge and understanding of the current trends and developments in healthcare reimbursement, including keeping abreast of compliance regulations, standards and directives regarding governmental/third party agencies and/or third party payers.This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.**Employment Qualifications**Required Minimum Education:Bachelors DegreeSpecialty/MajorBusiness Administration, Information Technology or Healthcare Administration or closely related field (with adequate understanding of healthcare industry)Preferred EducationBachelors DegreeSpecialty/MajorBusiness or Information Technology are preferred**Minimum Qualifications**Minimum Years and Type of Experience5 years of applicable experienceOther Knowledge, Skills and Abilities RequiredMust have the ability to timely and accurately mine data from various internal and external sources and organize information in a meaningful way for presentation and analysis. Must demonstrate strong analytical, verbal and presentation skills; have experience in statistical modeling with a broad array of fully integrated statistical capabilities; be proficient in spreadsheet and database programs. Must demonstrate the ability to establish relationships with internal customers and managed care entities. Most possess a broad knowledge of the healthcare industry, insurance, managed care, data analytics and finance. Possessing experience with SQL programming is required.Other Knowledge, Skills and Abilities PreferredPossessing experience with EPIC EHR and Excel programming is preferred. A background in payer reimbursement methodologies and/or decision support systems is preferred.Bon Secours Mercy Health is an equal opportunity employer.Well also reward your hard work with:+ Comprehensive, affordable medical, dental and vision plans+ Prescription drug coverage+ Flexible spending accounts+ Life insurance w/AD&D+ An employer-matched 403(b) for those who qualify+ Paid time off+ Educational Assistance+ And much more**S** **cheduled Weekly Hours:**40**Work Shift:**Days (United States of America)**Department:**SS Quality – Clinical Outcomes_All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If youd like to view a copy of the affirmative action plan or policy statement for_ Mercy Health Youngstown, Ohio or Bon Secours Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia _, which are Affirmative Action and Equal Opportunity Employers, please email_ [email protected]_ _If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at_ [email protected]_ .

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