Population Health Analyst
Mercy Health

Job Info

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Employment Type:
Full time
Shift:
Day Shift

Description:

Position Summary:

The Population Health Analyst provides advanced technical and analytical support for Trinity Health's Payer Strategy & Product Development department. Work assignments are complex and responsibility requires in depth knowledge of financial and clinical analyses and cost and utilization trends related to payers, employers, and health plan data. Strong analytical, investigative, interpretive and evaluative skills and the ability to contribute to and provide accountability for leading small and medium size projects and/or supporting portions of large projects is expected. What the Senior Population Health Analyst will do:

What the Population Health Analyst will do:

• Use various analytic tools to analyze, evaluate and interpret data. Designs analytical tools and health care data exports for Payer Strategy & Product Development. Plans processes, systems, policies, regulations and internal controls documents.
• Conduct impact analyses and modeling, assess utilization trends, identify risks, develop projections, determines opportunities and prepare detailed written recommendations and summaries for management review and decision-making.
• Perform business case ROI, conducts business workflow mapping and impact analysis, applies actions steps, provides routine status reports and keeps management apprised ensuring project plans and deliverables are met.
• Participate on teams that develop process improvement initiatives which support business needs and enhance the performance of payer claims analysis, product development and the managed care contracting process.
• Provides guidance and problem resolution on complex, challenging and variable situations that demand analytical, interpretive and evaluative thinking.
• Utilize claim valuation applications, integrated financial systems, relational databases, business intelligence and desktop analytical reporting tools to access data and develop detailed standard and ad-hoc reports and summaries that support department projects and initiatives.

What the Population Health Analyst will need:

• Bachelor's degree in Computer Science, Healthcare Business Informatics, Math, Statistics, Economics or related field or an equivalent combination of education and related experience.
• Three (3) to five (5) years of progressively responsible operational or consulting experience in managed care data and statistical analysis, and payer analytics reporting.
• Exhibits proficiency with SQL, Excel, Python, Tableau
• Considerable knowledge and experience supporting and developing reporting and analytics for research, process improvement support and ability to develop appropriate methods to collect, analyze and report data.
• Knowledge of medical terminology and coding methodologies including HCPC, CPT, RBRVS, Diagnosis (ICD-10), DRG's required.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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