QM Data Analyst, HCC, Quality Management, PHP, Full-Time, Day Shift

Company: PIHHealth
Location: Whittier
Posted on: May 15, 2022

Job Description:

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Whittier Hospital, PIH Health Downey Hospital and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women's health, urgent care and emergency services. The organization is recognized by Watson Health as one of the nation's Top Hospitals, and College of Healthcare Information Management Executives (CHIME) as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. PIH Health is certified as a Great Place to Work TM. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram. The QM Data Analyst will be responsible for supporting data analysis and reporting needs using various databases and information resources in support of healthcare delivery. This position will compile, verify, analyze, track and trend data related to quality management and risk adjustment activity. Serves as a liaison for both external and internal quality management and performance improvement data. Works closely with a variety of personnel, including data analysts, clinicians, managers, IS, and reporting vendors. This is a non-exempt position and will report to the Director of Quality Management.
Required Skills

• Advanced excel skills including data consolidation, macros, matching, merging and pivot tables.
• Ability to perform data analysis and compose appropriate reports.
• Proven skills in report writing and report development. Dashboard development skills a plus.
• Proven skills with data presentation including charts, graphs and other exhibits.
• Knowledge of Electronic Health Record (EHR) computerized, practice management or related systems.
• Ability to read and interpret technical bulletins and software documentation, write technical manuals, data dictionaries, reports and procedures
• Excellent interpersonal, verbal and written skills with the ability to communicate technical issues to non-technical audiences and ascertain user needs.
• Candidate must be able to handle multiple priorities in a fast paced environment.
  Required ExperienceRequired:
  • Bachelor's Degree in healthcare related discipline or combination of other appropriate college level education with five (5) or more years of quality data analysis and reporting experience.
  • Three (3+) or more years of experience with analysis and reporting of healthcare data in a managed care environment.
  • Knowledge of healthcare reimbursement and Pay for Performance programs (HEDIS, P4P, CMS Stars and CMS HCC) Preferred:
    • Experience with provider coding practices using Current Procedural Terminology (CPT), International Statistical Classification of Diseases (ICD)-9 and ICD-10 codes.
    • Familiarity with quality management and risk adjustment models as well as process to collect, aggregate and compile all related Performance Improvement metrics
    • Knowledge of healthcare reimbursement and Pay for Performance programs (HEDIS, P4P, CMS Stars and CMS HCC)
    • SQL experience Beyond the benefits that come with working for the area's leading community healthcare provider - one that also recognizes the need to ensure patient safety and comfort - you'll enjoy an extremely competitive compensation and benefits package. We are an equal opportunity employer and seek diversity in our workforce. EOE M/F/D/V

Keywords: PIHHealth, Whittier , QM Data Analyst, HCC, Quality Management, PHP, Full-Time, Day Shift, Executive , Whittier, California