Job Description
Job Summary
The Senior Clinical Data Analyst supports the Director of Quality as the resource for data collection and analytics related to key functions of the organization, including but not limited to: clinical outcomes, health care service utilization and customer satisfaction. The analyses created will support regulatory reporting as well as support the creation of data-driven interventions and assessment for performance improvement activities throughout the enterprise.
Physical attendance at an InnovAge facility and/or an InnovAge participant home is essential to performing the job duties.Essential Functions and Work ResponsibilitiesFunctional Category: Data Analytics and Reporting
Estimated Percent of time Spent 65%
Serves as the Senior Data Clinical Analyst for the Quality Department, leading enterprise-wide ongoing and ad-hoc data projects on behalf of Director of Quality. Synthesizes several data sources to report quality and performance metrics in an accurate and timely manner to appropriate regulatory agencies and organizational senior leadership. Data sources include, but are not limited to: claims data, service utilization reporting, electronic medical records data, enrollment data and reported incidents and grievances. Develops and executes data analyses to support clinical quality improvement, care management, utilization management in collaboration with clinical leadership Possesses a strong working knowledge and experience with nationally-recognized health care quality metrics and benchmarking strategies Performs concurrent review and retrospective in-depth analysis of patient records and claims data for purposes of identifying quality improvement opportunities. Develops and maintains a data repository, serving as a source of truth for organization-wide measures of quality. Improves the validity and effectiveness of the data repository over time. Develops, maintains and improves a key performance indicators (KPI) data dashboard for use by senior management to track and trend organization-wide performance. Manages external contractors, such as HEDIS abstractors and CAHPS survey organizations to ensure data collection methodology is aligned with nationally-recognized quality standards. Ensures that all regulatory data reporting is submitted accurately and on time.Functional Category: Additional Duties
Estimated Percent of time Spent 35%
Generates data analyses and reports for presentation to select audiences; including company senior leadership, Board members, clinicians and the general public. Possesses strong presentation skills; presenting results orally, in writing and visually for review by both subject matter experts as well as lay people. Serves as the organization-wide content expert across all lines of business, for measurement and analysis methods and imparts knowledge of methods for data collection, implications for research and opportunities for data-driven improvements to senior leaders and quality staff. Continually expands & updates this knowledge. Interacts frequently with leadership and quality personnel, including Infection Control, Risk Management, Compliance, Home Care, etc. Facilitates discussions with these stakeholders of existing data, reports, and analyses while assessing unmet needs and potential enhancements. Advises on trends and helps coordinate project teams to improve processes.Travel RequirementsTravel
Travel required Overnight travel out of stateRelocation
Must be open to relocation based on business necessityQualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functionsREQUIREDEducation
Bachelors degree in research, statistics, health administration, or a related field from an accredited college/university.Licensure, Certification, Registration or Designation
Requires state issued drivers license, personal transportation, good driving record and auto insurance as required by law.