Managed Care Analyst jobs in Baton Rouge, LA

Job Description

Job Purpose:

The Health Informatics Analyst provides analytics in understanding and improving how healthcare is valued, utilized, and provided. This position will develop analytic and/ or predictive attributes that pertain to patient level health utilization/outcome, provider performance measures, risk-adjustment revenue optimization, medical cost management and behavior attributes on patient/provider engagement. In collaboration with other business areas and IT, this position assists in problem solving, solution development and strategic planning and decision making.

Essential Job Functions including, but not limited to:

• Satisfies Core Competencies
  
  

Accepts responsibility for ensuring that performance meets the standards of the professional, ethical and relevant legislated requirements

• Data Analytics and Management
• Performs scientific and technical planning, analysis, reporting and methodological support to measure and improve population health and provider performances.
• Provides ongoing data analysis and recommends focus and direction of resources for decision makers and management that is relevant to healthcare; assists in problem solving, solution development, decision making, and strategic planning.
• Hypothesizes and develops attributes that characterize or predict health outcome or provider and organization performances.
• Leverages in-house clinical reporting systems and models to develop dashboards and reporting on performance outcomes.
• Performs peer data quality reviews, validating data and process to ensure accuracy, completeness, and consistency of department output; recommends process improvements, as necessary.
• Investigates existing national and regional data and performs descriptive and analytic studies using basic analytical/statistical techniques.
• Serves as technical expert advisor to collaborating departments on organization and cross-functional projects, reports, and activities.
• Other Duties
• Adhere to departmental policies, procedures and objectives
• Participates in ongoing quality improvement objectives
• Maintain patient confidentiality and comply with all federal and state health information privacy laws.
  
  

Required Education:

• Bachelor’s in healthcare informatics, statistics, economics, mathematics, analytics, computer science, or quantitative/healthcare related field required.
  
  

Skills, Licensure and Knowledge Requirements:

• Must have knowledge of query/analytic/visualization tools.
• Experience in Healthcare environment preferred.
  
  

Physical Demands:

The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach
• Specific vision abilities required include close vision requirements due to computer work
• Light to moderate lifting is required
  
  

Work Environment:

The work environment characteristics described here are representative of those the employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Moderate noise (i.e. business office with computers, phone, and printers, light traffic).
• Ability to work in a confined area.
• Ability to sit at a computer terminal for an extended period of time.
  
  

Travel or Special Requirements:

Driving during the workday as well as local or out of state travel may be required to perform job duties.

Company Description

Open Health Care Clinic is a federally-qualified health center located in Baton Rouge, LA. We are an equal opportunity employer looking for compassionate, talented people who want to share their expertise with our respected patients.

Open Health Care Clinic is a federally-qualified health center located in Baton Rouge, LA. We are an equal opportunity employer looking for compassionate, talented people who want to share their expertise with our respected patients.