Clinical Operations Analyst Senior, Health Services

Work set-up: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 
United States

Offer summary

Qualifications:

Bachelor's degree in health-related profession or clinical informatics., RN license in good standing with the Alabama board., Seven years of healthcare analytics experience or equivalent., Proficiency in Microsoft Excel, Tableau, SQL Server, and SAS..

Key responsibilities:

  • Support and develop Health Services and ACHN processes through data analytics.
  • Monitor and report on quality, utilization, and performance indicators.
  • Collaborate with leadership to support strategic decision making.
  • Develop and maintain KPI dashboards for data-driven insights.

VIVA HEALTH logo
VIVA HEALTH Insurance SME https://www.vivahealth.com
201 - 500 Employees
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Job description

VIVA HEALTH, ranked one of the nation's Best Places to Work, is seeking a Clinical Operations Analyst Senior, Health Services position to join our team in Birmingham, AL

VIVA HEALTH's employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. We offer a great benefits package including 401k, tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few! Come join our team!

The Clinical Operations Analyst Senior, Health Services is responsible for supporting and developing Health Services and Alabama Coordinated Health Network (ACHN) processes and initiatives through data analytics, process improvement and decision support. This includes monitoring and reporting on quality, utilization and other performance indicators, identifying opportunities for improvement, conducting qualitive analysis in support of strategic decision making, and collaborating with functional areas to monitor the impact of various initiatives. This individual will work closely with Executive and Senior Leadership in Clinical Services and Operations to support internal and external operations. This role emphasizes highly efficient use of data organization. This position is responsible for the
development, maintenance and presentation of data driven Key Performance Indicators (KPI) dashboards. This position will have work from home opportunities.

REQUIRED:

  • Bachelor's degree in health-related profession or clinical informatics
  • Graduate of an accredited program of professional nursing, ADN/BSN
  • Seven years of experience in healthcare analytics and/or equivalent experience
  • Current RN license in good standing with the State of Alabama board
  • Advanced level of proficiency in Microsoft Excel including pivot tables, conditional formatting techniques, graphs, and advanced formulas including statistical, lookup, reference, and logical functions
  • High level of technical proficiency and understanding of commonly used Windows OS business-support applications including Microsoft Outlook, Word, PowerPoint, Adobe Pro, etc. and visualization techniques for the graphical presentation of data and results in a group setting
  • Advanced level of proficiency in Tableau, Microsoft SQL Server, SAS, Crystal or similar query or data manipulation tools
  • Demonstrated ability to apply logical deductive reasoning to research or analytic results toward application to business operations
  • Strong analytical skills to diagnose and support resolution of department strategic concerns and issues
  • Ability to exercise sound independent judgement and discretion in decisions that affect business operations
  • Self-directed, demonstrated ability to initiate, implement and complete projects and assignments in a timely manner
  • Excellent organizational and interpersonal skills including the ability to work on and track multiple assignments on various timelines with minimal supervision

PREFERRED:

  • Master's degree in health-related profession or clinical informatics
  • High level of familiarity with ICD10 procedure and diagnosis codes
  • Demonstrated experience developing or initiating new operational projects and programs
  • Knowledge of Medicare Advantage and MAPD Plans, Health Maintenance Organizations or other Health Insurance operations
  • Ability to interpret written health care quality measure specifications and apply them to business operations

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Excel
  • Analytical Skills
  • Logical Reasoning
  • Social Skills
  • Organizational Skills
  • Communication

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