Population Health Analyst - Houston TX

Job Description

This position is a hybrid full-time role that requires in office on Tuesdays and Thursdays at 1200 Binz St Suite 1490 Houston TX 77004.

Mon, Wed, and Fri are typically work from home but subject to change for internal meetings, trainings, and conferences.*

The Population Health Analyst will work cross-functionally within the team, helping develop a suite of purpose-driven analytic reporting to maximize the health of our patients and the performance of our physicians using proprietary applications.

You will work with a cross-functional team composed of Population Health Market Leadership, IT, Quality, Risk Adjustment, and Operations to understand evolving requirements and business needs to build reports using payer and internal data.

You will execute business and payer-facing ad hoc analyses, using data to guide strategic discussions among and between internal and external stakeholders.

Primary Job Duties :

Champion understanding of Value-Based Care Programs (Medicare Shared Savings, Medicare Advantage, and Commercial Accountable Care Organization Programs) with emphasis on Quality / STARs and Documentation & Coding performance.

Calculate key performance metrics and apply data mining techniques to identify opportunities for improvement

Apply data mining techniques to Quality Metrics, STARs, HCC, Total Cost of Care Performance, and opportunities for improvement

Understand and manage patient attribution and provider rosters

Clinical Analytics

Assist in reporting quality and utilization measures performance

Assist in identifying opportunities for performance improvement within value-based care programs and assist in developing the provider-facing materials to support change

Leverage clinical data to identify opportunities to close care gaps

Leverage payer reports to develop provider-level reporting to improve performance

Build physician profiles to identify performance outliers

Perform analysis to understand utilization patterns

Become a data SME on data from Traditional Medicare, MA Payers, EMRs, ADTs, and other vendors

Operational Support

Collaborate closely with the Population Health team to develop reporting for Care center 1 : 1 meetings

Collaborate closely with the Population Health team, Physician leaders, and Advanced Practice Practitioner leaders to develop reporting for Physician Organized Delivery System (PODS)

Support market-level incentive payment distribution, including calculation of bonus distributions and managing the distribution process in collaboration with Population Health Team leadership, Payer Partnerships, Accounting, BI teams, and more.

Work closely with the Population Health team to understand their evolving information needs, and plan and execute analytics strategies and solutions that are in alignment with those needs.

Produce ad-hoc reporting and perform other duties as assigned

Qualifications

2+ years of professional experience

Bachelor’s Degree preferred, preferably a quantitative major (e.g. engineering, analytics, applied math, statistics, etc)

Experience with SQL preferred. Experience with data mining software (R, SAS, Python) is desirable

Experience working with data (claims, EMR, ADT, Rx labs, etc. )

Experience with Microsoft Excel and Google Suite preferred

Understand basic business concepts related to healthcare claims / insurance and / or physician group dynamics

Experience working at a health plan, hospital system, ACO, provider organization, consulting firm, technology start-up, or previous healthcare analytics experience and capabilities highly preferred

Must comply with HIPAA rules and regulations

The salary range for this role is $60,000-$75,000 in base pay and exclusive of any bonuses or benefits. This role is also eligible for an annual bonus targeted at 10%.

The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

All of your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers only, not applicable for onsite / in office work) :

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.

This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https : / / www.

speedtest.net / . This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements.

Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work.

Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and / or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.