The Care Management Data Operations Analyst position will support the design, development, and implementation of care management reporting requirements. This position also conducts quality assurance testing related to reporting, data integrity, and analyses; to include ongoing monitoring and oversight of operational reports. An essential part of the role includes the ability to act as a liaison for Care Management interdepartmentally for interdependencies for data collection and report development efforts.
This position is full-time remote. Selected candidate must reside in North Carolina. Some travel for onsite meetings to the Home office (Morrisville, NC) may be required.
Responsibilities & Duties
Reporting Development and Strategy
Perform data acquisition, analysis, and evaluation via advanced platform queries, MicroStrategy, Excel, and other data management tools to support departmental reporting
Design solutions to maximize efficiency and work towards utilizing dashboards and alerts to expedite reporting data to internal Alliance staff and other stakeholders
Using thorough knowledge of available data, design reports that merge data from various sources including State data, the data warehouse, and internal platforms including Jiva, Excel, and SharePoint
Provide support as required to ensure the accuracy of developed reports and metrics for both external and internal stakeholders
Ensure that reporting activities are conducted in ways that correspond with externally mandated specifications
Lead Care Management with any data assurance/integrity efforts required as part of larger quality activities, and with the completion and validation of state-required reports
Operational Documentation and Improvement
Engineer efficient processes for gathering statistical data, identifying complex trends, and translating insights into actionable recommendations
Maintain current records of actions being taken to ensure efficient processes and integrity within Alliance
Write report requirements, submit requests, and work through report development with appropriate IT resources
Read reporting requirements for existing reports to identify process improvements in data collection; understand the connection to contractual requirements
Track changes in operational workflows that may impact reporting
Keep up to date and monitor for new reporting requirements to implement and QC changes in or new reporting requirements
Operational Application of Data Requirements
Analyze Care Management activities and data to identify trends, report current data related to expectations and requirements at the state level and within Alliance Health
Translate data findings into report documentation specifications and present data as needed
Support development and documentation of operational documentation platform workflows to enhance reporting accuracy and efficiencies
Lead efforts to clarify any specifications that are unclear
People Management, Collaboration, and Communication
Collaborate with Care Management leadership for oversight and monitoring of adherence to workflows to capture accurate data
Collaborate with Care Management operations to understand current state processes and identify any improvements to processes and/or workflows to enhance and/or streamline reporting
Oversight and monitoring of ongoing reporting, not yet automated
Influence and manage others to meet critical timelines
Work closely with others in Care Management to enhance operations and automation of reports and processes and perform quality assurance testing of systems and products
Actively participate in committees and work groups as appropriate
Attend IT/Reporting trainings or meetings that are relevant to the above responsibilities
Attend in-person meetings as required to problem-solve and/or collaborate with internal Alliance employees
Provide End User support on solutions and data interpretation
Conduct peer reviews and test solutions for functionality and data accuracy
Supporting CM Leadership and Learning & Development to provide information and/or documentation needed for communication and training on processes impacting reporting
Minimum Requirements
Education & Experience
Required:
Bachelor’s degree in computer science, information science, human services/healthcare, or related field and
(4) four years of experience implementing reporting requirements, data strategy, and process improvement with at least (1) year of that experience working with data obtained through healthcare documentation platforms.
Lean Six Sigma Green Belt, or equivalent, required within 1 year of hire.
Preferred:
Experience and knowledge of care management process, roles, and responsibilities preferred.
Experience in MCO, ACO, CIN, or VBC preferred.
Knowledge, Skills, & Abilities
Demonstrated application of data integration knowledge (validation and cleaning)
Demonstrated knowledge of complex data and structure
Knowledge of healthcare operations
Knowledge of Care Management Concepts, Roles, Responsibilities
Demonstrated ability to learn and adapt to new software systems quickly
Experience with electronic health records or other healthcare documentation software systems
Ability to interpret reporting requirements into operational workflows
Demonstrated application of data visualization principles and strategies
Excellent interpersonal (verbal and written) communication skills are required to support working in project environments that includes internal, external and customer teams
Strong analytical, conceptual, and problem-solving skills
Ability to manage multiple priorities and adjust quickly to changing priorities
Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
Ability to work independently without a high degree of supervision.
Advanced proficiency in Microsoft Excel (Skills testing will be administered as a way to evaluate proficiency level)
Computer proficiency in Microsoft Office Suite (Outlook, Teams, Visio, and PowerPoint)
Ability to drive change management.
Salary Range
$66,240 - $87,768/Annually
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
