Electronic Data Interchange Specialist jobs in Atlantic City, NJ

Why Beebe?

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

Overview

The Value-Based Care Analytics Specialist will oversee business and data analytics for the payer-provider partnership at Beebe Medical Group & Beebe Healthcare. Collaborating closely with the payor partner, the coordinator will design and develop reporting dashboards that leverage multi-source payor and provider data to inform strategy, operations, and clinical initiatives. Reporting to the Vice President, Value based Operations & Transformation. The VBC Data Analytics Specialist will also be responsible for analyzing data to identify and/or evaluate interventions or program changes to improve patient quality, outcomes, and impact. This position is responsible for the accuracy, quality, and timeliness of data delivered in coordination with the organization's data governance. Responsible for creating, maintaining, and optimizing the informatics architecture to ensure integration amongst systems and data sources.

Responsibilities

The VBC Analytics specialist will oversee payor portal management for business and data analysis, analytics, and reporting for a payor-provider partnership.

In close partnership with payor partners, care coordination, quality programs, the VBC analytics specialist will design, develop, and optimize reports that leverage multi-source payor portals and provider data to help guide strategy, operations, and clinical initiatives.

The VBC Analytics Specialist will be responsible for analyzing data to identify and/or evaluate interventions or program changes, along with the quality program manager to improve quality, outcomes, and impact costs for the payer populations.

Responsible for accuracy, quality, and timeliness of data and analytics from payor portals

Will work with other stakeholders to develop presentations of information for internal and external stakeholders for understanding of current state of value based arrangements

Ensures that monthly and quarterly data files from payors are reviewed monthly

Ensures compliance with corporate policies, HIPAA, ACO partnership, HEDIS measurement, and regulations.

Analyzes and supports satisfaction in quality results along with payors for success in quality, suspect conditions, and stars measure

Will collaborate with Risk adjustment specialist for Coding and HCC opportunities to promote clinical/physician education as necessary

Responsibilities include collecting, scrubbing, and summarizing payor data for use by the care coordination team to drive decision-making.

Manage and satisfy CMS and internal reporting requirements as needed/QPP/MIPS/ACO.

Will promote Beebe Healthcare's Population Health goals of quintuplet aim.

Other job duties as assigned.

Credentials

Education

Other Information

Education & Experience:

Bachelor's degree or higher in Healthcare Administration, Business Administration, or Nursing degree. Masters level preferred

7- 10 years of work experience in business or data analytics, data management and analysis, or business intelligence in managed care or healthcare organizations in leu of degree, preferably supporting population management programs or value-based care initiatives.

Skills:

Ability to analyze data and then convey findings verbally and in writing in an effective manner.

Skilled in healthcare payer data model, data governance, data quality, and data management to measure the impact of activity on key performance and quality metrics to optimize processes and forecast future outcomes.

High-level proficiency in Microsoft Office and Office 365 MS Word, Excel, Outlook, PowerPoint, and Teams.

Ability to quickly learn new software platforms and programs

Ability to work with teams to identify and implement processes and workflows

Experience using different EHRs and business analytics platforms.

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