Business Analyst ACO Operations

Posted 2 Days Ago
Be an Early Applicant
Wilmington, NC, USA
In-Office
Junior
Healthtech
The Role
Analyzes healthcare, provider, clinical, member, claims, and population health data to identify cost-reduction, quality-improvement, patient-satisfaction, and risk-capture opportunities. Develops reports, documentation, drill-down analyses, and strategic recommendations; presents findings to internal and external stakeholders; and collaborates with clinical and operational leaders on population health initiatives. Requires proficiency in Excel, SQL, and SAS.
Summary Generated by Built In

About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Purpose:

Wilmington Health is looking for a Business Analyst to support ACO operations.  This position requires an in-depth understanding of healthcare data including provider, clinical and member data.  In this role, the Analyst is charged with developing high level analyses, recommending strategic actions to be taken based on data and presenting opportunities to support internal and external initiatives in support of strategic efforts.  

Essential Duties/Responsibilities:

  1. Incorporate large amounts of healthcare data to discover patterns, trends, and relationships to produce actionable insights which can inform strategy and identify cost reduction, quality improvement, and risk capture.
  2. Create and maintain documentation of operational practices used in the development of analysis and reports.
  3. Present thoughtful analytical summaries to internal and external stakeholders, using strong written and verbal communication.
  4. Actively participate in developing strategies and targets for scaling business and targeting initiatives that improve quality, improve patient satisfaction and control healthcare costs.
  5. Work with clinical and operational leaders to identify, analyze, research, select, modify, or update population health solutions.
  6. Assists with or facilitates meetings, conference calls, web meetings, presentations, and other communication methods.
  7. Conducts or facilitates drill down and other ad hoc analyses of population healthcare data.
  8. Writes reports for use by other team members and leaders to support population health management.
  9. Proficient in use of Excel and SQL and SAS

Other Duties:

  • Appears for work on time and attends meetings as required
  • Maintains strict confidentiality
  • Communicates courteously and appropriately with patients, physicians, and coworkers
  • Other duties specified by manager 

 

KNOWLEDGE, SKILLS, AND ABILITIES: 
               

  • Strong organizational skills
  • Ability to manage time-sensitive projects
  • Effective communication skills 
  • Ability to work independently and take initiative in addressing concerns and issues
  • Proficient with computer-based applications such as MS Office, Adobe, registries/medical databases, claims data, population health benchmarking and electronic health records 

QUALIFICATIONS

Required

  • Bachelor’s Degree or equivalent experience
  • 1-2 years of population health experience

Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran’s status, sexual preference, disability, genetic information, or any other class protected under state or federal law. 

ADA Physical Demands:

Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Occasionally

Sitting

Continuously

Walking

Occasionally

Kneeling/Crouching

Rarely

Lifting

Rarely

Skills Required

  • Bachelor's degree or equivalent experience
  • 1-2 years of population health experience
  • Proficiency in Excel, SQL, and SAS
  • Proficiency with computer-based applications, medical databases, claims data, population health benchmarking, and electronic health records
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The Company
HQ: Wilmington, North Carolina
752 Employees
Year Founded: 1971

What We Do

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty clinic with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. In 2013, Wilmington Health was named a 2013 Acclaim Award Honoree by the American Medical Group Association (AMGA). The prestigious honor is awarded annually to only three national healthcare organizations. Previous esteemed Acclaim Award Honorees include Mayo Clinic Health System, Johns Hopkins Medicine, and The Cleveland Clinic. Wilmington Health’s drive to become a High Performance Health System (HPHS) began over five years ago by taking a programmatic approach involving a three part system of change including direction setting by our leadership, process improvement at the ground level, and a redesign of the most elemental processes throughout the organization. A priority was given to paying careful attention to metrics, analysis, and critical assessment of each innovation and how these changes may affect the total cost of care. Only by understanding each of these aspects at work, was the organization able to pragmatically and intelligently design a future approach to the provision of healthcare. Additionally, Wilmington Health leadership began to put greater focus on creating a culture of change within the organization, understanding that this is the most powerful tool in any transformative process. Included were new and improved support systems for staff and providers and development of an inspirational approach to leading the entire team to provide patient-centered healthcare. July 2012, Wilmington Health partnered with Blue Cross and Blue Shield of North Carolina to form an ACO agreement. This was the first insurer-provider Accountable Care Organization in the region.

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