Performance Measures Analyst at Lumeris (St. Louis, MO)

| St. Louis, MO
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Performance Measures Analyst

Position Summary:
Works with cross-functional teams involved in physician practice quality and performance metrics, maintaining working relationships with network physicians and practice administrative staff, the assessment of practice training needs, and the coordination of training programs with Essence staff.

Job Description:

Primary Responsibilities
  • Supports quality and performance measurements for assigned Medical Groups and IPAs.
  • Maintains ongoing relationships with the physician and business leadership of Essence network of physicians, hospitals, and ancillary providers.
  • Participates in medical expense management, HEDIS/STARs performance and Medical Group/IPA joint operating committees as needed.
  • Monitors, reviews, and analyzes physician contract measurement performance to ensure financial, operational, and strategic metrics are being satisfied. Suggests and helps implement improvements.
  • Answers questions about physician analytics and reporting issues and interpretations and resolves moderately complex issues that arise. Partners with management on more complex issues.
  • Provides in-office training and orientation for new physicians regarding measurements and metrics.
  • Serves as the point of contact on quality and performance metrics.
  • Assist in the development to the strategic planning process to address the provider network needs as the market grows.
  • Assists management with development of provider-specific metrics.
  • Provides support to department leadership for contract negotiations of quality and performance metrics.

  • Bachelor's degree in business, health care administration, or related field or equivalent experience
  • 3+ years of experience with a combination of exposure to provider analytics and/or provider relations
  • Good judgment and follow through skills
  • Effective interpersonal, organizational, time-management, critical thinking, and problem-solving skills including the ability to interpret, conceptualize, and disseminate data/information in a readily understandable manner
  • Knowledge of HEDIS/STARS measures
  • Good communication and presentation skills, both written and verbal, with the ability to effectively communicate with professionals at all levels internally and externally
  • Proficient computer and Microsoft Office Suite skills with the ability to learn, understand, and apply new technologies; Excel and PowerPoint experience strongly preferred
  • Adaptable and patient with the ability to address and resolve issues in a fast-paced and changing environment
  • Strong collaboration and team work skills

Working Conditions
  • While performing the duties of this job, the employee works in normal office working conditions.

  • The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

St. Louis, MO

Time Type:
Full time
More Information on Lumeris
Lumeris operates in the Healthtech industry. The company is located in Maryland Heights, MO. Lumeris was founded in 2011. It has 1001 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability Insurance, Dental Benefits, Vision Benefits, Health Insurance Benefits and Life Insurance. To see all 18 open jobs at Lumeris, click here.
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