Lead Clinical Analyst

Overview

Job Summary   

Works closely with a team to provide clinical synthesis, distribution and analysis of internal and comparative data in support of system strategic, operational and quality projects.  Works in collaboration with facility executives, service line leaders and operational leads. Translates the operational and clinical needs into analytic and reporting strategies. Develops and executes plans for improvement opportunities in enterprise-wide clinical performance and outcomes.  Oversees internal data collection and reporting and ensures submission standards are met for the appropriate governing entities.  

This person will be working in the quality/payer space with an emphasis on Medicare and Medicaid. The ideal candidate will have a firm understanding of quality, particularly HEDIS quality measures. The candidate will also have experience with Medicare, Medicaid, CMS, ACO reporting. Candidate should be able to work well with a team and be motivated to think strategically about how to improve quality care. Candidate should be detail oriented and able to facilitate discussions with multidisciplinary teams with a customer-focused mindset.
 

Essential Functions   

• Directs and executes multiple, concurrent projects independent of or with little supervision from leadership.  
• Facilitates and serves as a resource for the development and implementation of action plans for process and practice improvements.   
• Works in collaboration with clients to thoroughly understand the business needs, project scope, and anticipated deliverables associated with requests for service.  
• Manages the ongoing interface with the client to develop analytic approaches to the request.  
• Thinks independently on strategies to improve processes and collaborates with those identified as instrumental to the improvement process. 
• Understands the context of the requested data and reports with other initiatives to develop sustainable solutions.  
• Reviews and approves the process used to translate the defined business needs to a set of meaningful metrics and analytics. 
• Provides value-added analysis and recommended follow-up actions in support of the business needs. 
• Manages the process to integrate data from multiple sources to a single dataset for analysis. 
• Manages the review and validation of complex, custom datasets specific to the project. 
• Recommends to the client a method of delivering results from the project to meet current and ongoing needs. 
• Manages the preparation of deliverables for client review and facilitates data discussion and interpretation. 
• Manages the development of reports using various tools.  
• Develops data variables, collection processes standards and data dictionaries.    
• Consults with clients to create methods to quantify key elements of their operational performance within the limitations of available data sources.  
• Guides clients through known and potential data issues, taking into consideration all data collection inconsistencies and inaccuracies in the source system.  
• Coordinates the efforts, when appropriate, of assigned project team members to meet the needs of the clients.  
• Performs routine triage of proposed projects and recommends priority level  
• Mentors and trains teammates on analysis approach, reporting skills, and data validation.  
• Identifies best practices and project efficiencies. 
• Works with IAS and technical team members to identify and to resolve data issues. 

Physical Requirements   

The Lead Clinical Analyst generally works in an office environment, sitting at a desk, working with a computer, talking on the telephone, and preparing reports and other statistical data.  Some of the time is spent in meetings at a variety of CHS facilities, making presentations and offering advice to System executives.  On occasion, requires standing, walking and traveling in personal car to other facilities. Also, occasionally requires carrying of up to 25 pounds of materials (files, projectors, laptops).  Position also requires the ability to work rapidly and accurately under pressure, to work in a safe and effective manner, and to handle different issues and priorities simultaneously.  

Education, Experience and Certifications  

Bachelor’s degree in health-related fields and 2 years’ experience in health-care required, Master's Degree preferred.  Experience with healthcare data in a healthcare organization strongly preferred. Thoroughly understands the elements of registries and databases relevant to assigned projects and identifies data integrity issues using complex analysis of the data. Communicates effectively in verbal, written, and electronic formats with team members, supervisors, department heads, and all clients using appropriate terminology and grammar. Proficiency using computer software tools and Windows operating system. Strong organizational and time management abilities. Strong ability to apply the principles and practices of data management. Ability to work effectively and independently manage tasks in a fast-paced environment. Ability to analyze and solve issues and problems. Ability to initiate and follow through on programs of both short- and long-term duration.