Skip to main content

Sr. Health Data Analyst Value-Based Analytics

Requisition R093675 Market Cincinnati, Ohio Department SS Revenue Management - Revenue Management Shift Days Schedule Full-time

Thank you for considering a career at Bon Secours Mercy Health!

SUMMARY

The Senior Health Data Analyst will lead the delivery of business and technical reporting solutions to meet the needs of Bon Secours Mercy Health’s value based contracting strategies. This position will lead team members in the analysis of Payor data and maintains department databases with the specific purpose of providing statistical, aggregate and trending data for quality improvement and management of risk issues. He/she will disseminate data findings to Market and System leadership providing insights and recommendations for future applications. The Senior Health Data Analyst is relied upon to provide value-added insights to directly impact outcomes.

ESSENTIAL JOB FUNCTIONS

  • Perform routine audits and analytics for existing value-based programs to validate attribution, quality performance and financial reconciliations. Providing insights on performance and audit results to leadership.
  • Responsible for obtaining and distributing insurance provider reports/data, running reports in various applications and report writing for assigned programs. The analytical results will be shared and reviewed with key stakeholders. 
  • Lead the department’s interfaces with the various markets, insurance providers and key data collectors, to facilitate data integrity and validity of quality data.  
  • Build and analyze performance dashboards for reporting, interpreting and communicating population-based data for internal and external stakeholders.
  • Responsible for managing the data flow of information from both managed care and governmental programs
  • Reconcile payer information with internal data sources
  • Collaborate with the Advanced Analytics, Data Transfer and Finance Teams to create actionable reports and performance dashboards for reporting, interpreting and communicating practice transformation activities
  • Along with Leadership, participates in audits and reconciliation activities with CMS and managed care payers
  • In collaboration with the finance integrates BSMH value based program performance results into overall system value based contract reporting.
  • Coordinate with team members to monitor contracted quality initiatives for updates and changes as defined by regulatory or quality agencies on an ongoing basis.
  • Maintain knowledge and understanding of the current trends and developments in healthcare reimbursement, including keeping abreast of compliance regulations, standards and directives regarding governmental/third party agencies and/or third-party payers.

EMPLOYMENT QUALIFICATIONS

Required Minimum Education:

  • Bachelor’s Degree
  • Specialty/Major- Business Administration, Information Technology or Healthcare Administration or closely related field (with adequate understanding of healthcare industry)

Preferred Education:

  • Bachelor’s Degree
  • Specialty/Major- Business or Information Technology is preferred

Minimum Years and Type of Experience:

  • Minimum 5 Years of experience in Healthcare related field. Prefer healthcare data analytics, finance, payer reimbursement methodologies and/or decision support systems in order to meet required knowledge, skills and abilities listed below.

Other Knowledge, Skills and Abilities Required:

  • Strong analytical and financial knowledge and be familiar with regulatory Quality programs as defined by DHHS, CMS and other accrediting agencies.
  • Critical and logical analytical thinking skills in the design and development of innovative solutions related to quality metrics, outcome modeling, risk adjustment, process of care and performance data analysis.
  • Strong aptitude for quickly troubleshooting and identifying the cause of questionable results within extracts and reports.
  • Advanced Microsoft Office capabilities, CPT, ICD-10, HEDIS and NQF Knowledge.
  • Experience in statistical modeling with a broad array of fully integrated statistical capabilities; proficient in spreadsheet and database programs.
  • Ability to establish relationships with internal customers and managed care entities.
  • Broad knowledge of the healthcare industry, insurance, managed care and integrated delivery systems.
  • Ability to timely and accurately mine data from various internal and external sources and organize information in a meaningful way for presentation and analysis.

Other Knowledge, Skills and Abilities Preferred:

  • Experience with EPIC, Tableau and SQL programming is preferred

Bon Secours Mercy Healthis an equal opportunity employer.

We’ll also reward your hard work with:

  • Comprehensive, affordable medical, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • An employer-matched 403(b) for those who qualify
  • Paid time off
  • Educational Assistance
  • And much more

Scheduled Weekly Hours:

40

Work Shift:

Days

Department:

SS Revenue Management - Revenue Management

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.

Apply Now
Luis F., RN

I wanted to get into a career where I’m happy to go to work.

Luis F. Registered Nurse
Forbes Best-in-state Employer, Virginia (ranking 80th)

Forbes Best-in-state Employer, Virginia (ranking 80th)

Springbuk- One of the Healthiest Employers in America

Springbuk- One of the Healthiest Employers in America

Seramount – One of the Best Companies for Multicultural Women

Seramount – One of the Best Companies for Multicultural Women

Seramount 100 Best Companies for Working Mothers 2021

Seramount 100 Best Companies for Working Mothers 2021

Seramount Top Company for Executive Women 2021

Seramount Top Company for Executive Women 2021

Forbes Best-in-state Employer, Virginia (ranking 80th)

Forbes Best-in-state Employer, Virginia (ranking 80th)

Springbuk- One of the Healthiest Employers in America

Springbuk- One of the Healthiest Employers in America

Seramount – One of the Best Companies for Multicultural Women

Seramount – One of the Best Companies for Multicultural Women

Seramount 100 Best Companies for Working Mothers 2021

Seramount 100 Best Companies for Working Mothers 2021

Seramount Top Company for Executive Women 2021

Seramount Top Company for Executive Women 2021

Check Out This Location Loctaion icon View Map
Back to top