DirecciónCompany : enGenJob Description : JOB SUMMARYThis job oversees all daily operations and functions of the department. The incumbent requires an in-depth knowledge of business systems, data warehousing, data collection and reporting.
The incumbent will be tasked with ensuring all summary and analysis reporting projects are mechanically, statistically and theoretically accurate.
Additionally, the incumbent will be responsible for summarizing, and presenting the results to enhance the organization’s understanding of underlying trends, results and implications.
Organizes, assigns, and actively manages to completion the data analysis projects within the department.ESSENTIAL RESPONSIBILITIESPerforms management responsibilities to include, but not limited to : involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
Plan, organize, staff, direct and control the day-to-day operations of the department.
Develop and implement policies and programs as necessary.
May have budgetary responsibility and authority.
Serve as the Decision Support Analytics subject matter expert in the development and implementation of dashboards and reports to support key clinical and operational initiatives.
Maintain key relationships with leadership and other stakeholders to proactively identify and communicate performance and continuous improvement opportunities for quality improvement and clinical effectiveness.
Oversee the ongoing sourcing, assessment, defining, and maintenance of business data to ensure integrity, quality, validity, and overall applicability to the identification, analysis, and interpretation of ongoing trends or patterns in complex data sets for specified projects.
Provide guidance on opportunities to enhance analytic capabilities with a particular focus on the ability to measure, benchmark and track value metrics.
Lead the design, implementation, and maintenance of analytical processes and reports supporting Gateway Health Plan’s performance (internal to the organization and in comparison to industry benchmarks / best practices).
Manage the utilization of measurement tools, statistical methods and benchmark comparisons to determine and analyze outcome measures in support of organizational goals.
Partner with leadership and process owners to define key metrics and analytic needs for implementation, including dashboards, scorecards, and overall reporting solutions.
Implement special initiatives to support the reporting and analytics needs of the organization as directed.
Other duties as assigned or requested.
EDUCATIONMinimumBachelor's Degree in Clinical-related field, Business Administration, Healthcare Administration, Health Information Management, or related discipline, or relevant experience and / or education as determined by the company in lieu of bachelor's degreePreferredBachelor's Degree - Clinical-related field, Business Administration, Healthcare Administration, Health Information Management, or related fieldEXPERIENCEMinimum5 years of progressive experience in a clinical or reporting and analysis field in a healthcare organization
Prior leadership and / or project management experience
PreferredExperience in a clinical area / function / organizationLICENSES & CERTIFICATIONSMinimumNonePreferredNoneSKILLSAdvanced knowledge of SAS and SQL required
Advanced computer skills with a strong knowledge of spreadsheet programs required
Ability to perform under stressful and changing circumstances and deadlines; effective written and oral communication skills;
and strong problem solving, project management, teamwork, and organizational skills required
The ability to assist in ensuring compliance with regulatory agencies and HIPAA regulations required
LANGUAGE REQUIREMENT (
other than English
NoneTRAVEL REQUIREMENT : 0% - 25%PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONSPosition Type : Office-BasedOffice-Based PositionsAn employee in this position works in an office environment.
The position frequently requires the employee to communicate effectively with others both inside and outside the workplace (e.
g., in person, via telephone, via email). The employee must be able to understand, interpret and analyze data, solve problems, concentrate, and research, use available technological resources and systems (e.
g., computers and computer programs), multi-task, prioritize, and meet multiple deadlines to complete essential tasks. The employee generally works in a fast-paced and frequently stressful environment, must attend work on a regular and reliable basis as well as adhere to all workplace policies, and may be called upon to work outside regular business hours.
Teaches / Trains others regularlyFrequentlyTravels regularly from the office to various work sites or from site-to-siteDoes Not ApplyWorks primarily out-of-the office selling products / services (Sales employees)Does Not ApplyPhysical Work Site RequiredYesLifting : up to 10 poundsDoes Not ApplyLifting : 10 to 25 poundsDoes Not ApplyLifting : 25 to 50 poundsDoes Not ApplyDisclaimer :
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 position 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.
Pay Range Minimum : $78,900.00Pay Range Maximum : $146,000.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
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 LawEqual Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity (
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