POSITION SUMMARY

Responsible for understanding and communicating clinical outcomes and reporting requirements for incentive programs, regulatory requirements, and accreditation requirements. Analyzes data to report progress and performance trends. Works collaboratively with staff on all levels to develop improvement plans when needed to ensure compliance with quality and value-based outcomes and best clinical practices.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The essential functions include, but are not limited to the following:

• Researches and understands reporting requirements in order to communicate these to leadership and other staff as needed. Identifies areas of documentation or data elements in the clinical record or elsewhere that will support baseline measures and reporting requirements and make recommendations for creation of data items to support reporting requirements.

• Runs and reviews reports to show compliance with the specific measures for the regulatory programs.

• Identifies areas where providers are not meeting the requirements for the program and makes recommendations for changes to workflow, data entry, reporting and training.

• Functions as a system expert for the CarePathways Key Performance Indicators (KPI) Dashboard, a data analytics system, and supports staff in optimizing their use of the KPI Dashboard.

• Responsible for assuring the accuracy and validity of data, while interpreting results into recommendations for management.

• Prepares a variety of reports including statistical analyses to assist with decision-making and tracking accountability. Develops new reports, dashboards and other means to monitor system-wide performance of program progress, total cost of care and clinical quality.

• Monitors and interprets the performance of a balanced score card to track quality and value-based accountability on a quarterly basis.

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)

Education:

• Bachelor’s Degree in Healthcare or business related field.

Experience Required:

• 1-2 years of similar position-related experience

•   Proficiency with Microsoft Office Suite (Word, Excel, Power Point).
•   Preferred understanding of quality payment programs.
•    Knowledge of data collection, analysis, statistics and data presentation.
•   Prefer behavioral health knowledge including population health management models.
•   Experience with Electronic Health Records.
•   Crystal Reports writing skills and experience preferred.

Skills/Abilities:

•     Excellent oral and written communication skills; ability to present complex information in an understandable manner
•     Excellent critical thinking and problem-solving skills
•     Strong interpersonal, communication and collaboration skills
•     Ability to work collaboratively with staff at all levels
•     Ability to research and understand reporting requirements
•     Experience with quality reporting such as Meaningful Use, PQRS, MIPS, etc. highly preferred.