Healthcare EDI Analyst, Sr. jobs in Lorain, OH

Who We Are:

NOMS Healthcare provides a different approach to healthcare. We are physician owned and physician lead, where patient care is top of mind for all employees. Our goal is to continually improve our scope and depth of service based on the ever-changing needs of our patients. NOMS is also committed to taking an active role in the betterment of our community, particularly related to healthcare matters affecting our fellow citizens. We develop and support health care practices recognized for exceeding patient expectations, thereby setting the standard for excellence in Northern Ohio. 

Company culture is at our core! Our core values are more than just words; they are a way of life! We believe in being patient centered, providing high quality service, teamwork, focusing on the communities we serve, and building trust. Do our values speak to you?  We are rapidly expanding and want you to join our team! 

We are rapidly expanding and want you to join our team! 

The Challenge (Job Summary)

NOMS Healthcare is rapidly maturing its analytic and data science capabilities and is looking for an experienced healthcare analyst familiar with the Microsoft Azure Cloud-based platform, Microsoft Power BI, and/or Alteryx Analytics Platform. This position will develop, design, implement, and maintain an analytics platform environment and help architect how the company interprets data to impact clinical and administrative operations. Part of this position’s responsibilities include developing dashboards that can be commercialized for ACOs and provider organizations, allowing them to analyze, interpret, and report to enable measurement of efficiency and effectiveness, and improve outcomes that address the Triple Aim: lowered costs, improved quality, and enhanced member engagement. A successful candidate will be able to leverage principles of program evaluation to examine effects on costs of care, utilization, clinical quality, members’ experiences, and productivity. In addition, this position will examine distributions and drivers of burden of illness, health care utilization and costs both within and across populations. Innovation is critical to this role as an ideal candidate will possess the ability to lead the development of analytics within the enterprise data warehouse, along with new reporting systems, analytic engines, and machine learning algorithms to support NOMS Healthcare

Your Day to Day & Essential Functions:

• You will be communicating results of analyses and implications to internal and external stakeholders, including appropriately displaying results for maximum impact and effectiveness, identifying actionable improvement opportunities, writing summaries, creating presentations, and delivering results, and recommending appropriate changes to realize identified opportunities. 

• You will monitor and interpret quality, cost, and utilization data. Analyze data and identify areas of potential focus for improvement initiatives.

• You will assess population health status and illness burden, use of care, plan spend, and receipt of high quality care consistent with evidence based medicine guidelines. Ensures analytic results are insightful and actionable

• You will develop analytics to support quality improvement initiatives, as well as the standardization of care.

• You will provide subject matter expertise and hands on delivery of data capture, curation, and consumption pipelines for Microsoft Azure’s platform.

• You’ll participate in deep architectural discussions to build confidence and ensure customer success when building new solutions and migrating existing data applications on the Azure platform.

• You’ll work in collaboration with NOMS data scientists, build a full technology stack of services for commercialization purposes including PaaS (Platform as-a-service), IaaS (Infrastructure as-a-service), SaaS (software as-a-service), operations and management.

• You’ll evangelize data on cloud solutions with data science and analytics team, leading Business, and IT stakeholders through designing a robust, secure and optimized Azure architectures.

• You will develop documentation, such as data dictionaries or guides that assist staff in identifying, locating, and using the organization’s data. 

What You Need to Succeed (Competencies and Education):

• 3 or more years of experience conducting analyses, delivering analytic results, or working with data in a health system, hospital, health plan, or medical practice.

• Experience and expertise in data extraction and analytical programming languages or software (e.g., Alteryx, Python, or SQL) and data visualization tools (Tableau or Microsoft Power BI) and the ability to perform queries and retrieve data from multiple tables and/or sources.

• Ability to function independently in a fast-paced environment required.

• Ability to communicate, understand technical terminology, and collaborate with data scientists and data engineers is required.

• Knowledge of medical terminology, especially ICD-10 codes, CPT codes, DRG codes, and an understanding of adjudicated claims data. 

• Knowledge of healthcare value-based care programs and an understanding of healthcare service delivery. 

• Excellent verbal and written communication. An applicant may be asked to provide examples of written work to demonstrate technical writing proficiency. 

Education and Work Experience:

• Bachelors or higher degree in Public Health, Sociology, Health Informatics, Epidemiology, Data Science, Statistics, or any other related field.

• Masters level work in analytics, statistics, or related field preferred.

What We Offer You:

A Wonderful Environment: The office has a great team full of positive people, and the opportunity to work with stellar patients. 

Benefits: NOMS offers a comprehensive benefit package including medical, dental, vision, life insurance, and a variety of a la carte options. NOMS also has a focus on employee health, offering an impressive wellness incentive program. 

Competitive Pay: We are proud to be an organization offering competitive pay in the area. Our Human Resources team looks at wages on an annual basis to ensure we are in line with our competitors. 

Career Growth & Development Opportunities: We value promoting from within and have leadership and development training programs for individuals who want to move up. We are proud to have managers who have started as medical receptionists and have worked their way up. 

Equal Employment Employer: We strive to have a diverse team, and are proud to welcome minorities, females, veterans, individuals with disabilities, sexual orientation, gender identity.

Working Conditions: There is a combination of exam rooms and medical offices. There is frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinical environment. 

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