Company :

Job Description :

GENERAL OVERVIEW:

Designs and implements reports, analyzes data and monitors statistical information to promote and guide quality and cost-effective care.

ESSENTIAL RESPONSIBILITIES:

• Collects and maintains data for reporting. Maintains weekly and monthly quality scorecard reports. Maintains data/reporting logs to support System groups. (25%)
• Understands and utilizes quality software for analysis. (25%)
• Supports innovative reporting for professional/publishable views of performance and quality measures. (10%)
• Assists with submission of all quality reporting. May assists with clinical chart reviews. (10%)
• Assists with data assurance for and produces quality reporting to analyze core measures. Supports all ad hoc project requests related to clinical, operational and statistical reporting. (10%)
• Supports abstraction process and software related maintenance. (10%)
• Supports team with interfacing of disparate systems to a centralized report writer and data base warehouse to create accurate and professional reporting. (10%)
• Performs other duties as assigned or required.

QUALIFICATIONS:

Minimum

• Bachelor's degree in Business, Health Information Management, or a Clinical degree, or relevant experience and/or education as determined by the company in lieu of bachelor's degree with experience in data development and analysis

Preferred

• Master’s degree
• BSN degree
• 1-3 years’ data/business analysis experience
• 1-3 years’ healthcare experience

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

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