Sr. Healthcare Data Analyst

Site: Mass General Brigham Health Plan Holding Company, Inc.

 

At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission—from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community.  We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.

At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare — people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds – to apply.

 

This is a hybrid role that requires an onsite presence to the office in Assembly Row, Somerville at least 1x/month.

 

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are on the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.

Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a consciously inclusive environment where diversity is celebrated.

We are pleased to offer competitive salaries, and a benefits package with flexible work options, career growth opportunities, and much more.

The Senior Healthcare Data Analyst II reports to the Senior Manager, Clinical Operations, and is a lead contributor to the measurement and evaluation of the care being received by Mass General Brigham Health Plan members.

The Senior Healthcare Data Analyst, as part of the Clinical Operations Team, provides direction and guidance on the retrieval and analysis of enterprise clinical data to support process improvement, trend analyses, and identification of healthcare disparities. This position is a subject matter expert on the data systems, data sources, and analytic techniques needed to support business owners on the improvement of care to our members. The Senior Healthcare Data Analyst II can work independently with minimal guidance to design and conduct analyses needed within the organization.

The Senior Healthcare Data Analyst will provide leadership within the team and mentor other junior analysts as needed. Additional responsibilities include collaborative work with multiple departments within the organization such as: Clinical, Contracting, Network Management, Medical Economics, and other areas within the organization.

Finally, the Senior Healthcare Data Analyst will support all other regulatory needs at the state and federal level, and across all health insurance programs.

 

Principal Duties and Responsibilities:

• Conduct research and analysis, monitoring, and reporting of special projects as requested by internal or external organizations to support decision making process and business strategies.
• Provide ongoing data and analytic leadership on the evaluation of disease/condition management programs.
• Consult with senior staff on the evaluation and effectiveness of clinical programs.
• Provide ongoing analytic support to the alternate payment methodology programs as well as the accountable care organization efforts.  Facilitate and lead discussions with stakeholders from provider organizations, as well as within the health plan, providing expertise and direction on the structure and management of these risk arrangements.
• Provide analytic support to MassHealth Quality Reporting and the External Quality Review Organization.  Consult with business owners and provide process and outcome data on specific programs.
• Analyze Consumer Assessment of Healthcare Providers and Systems (CAHPS) results and identify key drivers and underlying issues for member’s satisfaction.
• Support the annual Healthcare Effectiveness Data Information Set (HEDIS) reporting and software, providing analytic support and guidance on the use of HEDIS data.
• Lead and facilitate the completion of key deliverables such as the HEDIS Roadmap, Quality Management Program Evaluation and ongoing studies of new programs that benefit Mass General Brigham Health Plan members.
• Consistently produces well thought out, error free work in a timely manner. Performs detailed quality checks on all final products to ensure that users receive reliable information.
• Prioritize data analyses as directed by quality or clinical leadership, and presents conclusions and findings to all levels of staff across the organization.
• Independently design and manage analyses to discover, articulate, assess, or measure impact of organization programs or initiatives.
• Performs functions such as, but not limited to, the development and maintenance of reporting, analysis related to utilization patterns related to common conditions or disorders, population trends, readmission rates, quality contract performance evaluation develop and maintain contract deliverables reports, etc.
• Conducts ad hoc analysis as needed to meet various operational and organizational needs.
• Assists in the acquisition of data and report development to support required reporting for MassHealth Quality Improvement Goals, NCQA, clinical program evaluations, network reporting, or other organizational initiatives.
• Serves as a resource for other teams within the organization for projects and tasks requiring advanced technical skills.
• Serves as an expert, “super-user” of available data sources (e.g., Data Warehouse, Reporting, Dashboards, SAS) and predictive modeling tools.

Increase integration between Mass General Health Plan and delivery system.

• Establish positive relationships with delivery system leaders.
• Enhance credibility of Plan
• Develop service levels, key performance indicators and targets for individual and shared activities.
• Promote a seamless experience for our members.
• Identify, share, and implement best practices.
• Leverage unique skills and strengths within each area.
• Build efficiencies between teams.

Use Mass General Brigham healthcare values to govern decisions, actions, and behaviors.

• These values govern how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration

Qualifications:

Required

• Bachelor's Degreen in Analysis or related field of study
• At least 5-7 years of experience in data analysis
• Advanced SQL, SAS, and Excel skills along with experience with statistical modeling tools required.

Highly Preferred:

• Master’s degree required in statistics, computer science, information systems, or other related field.
• 10-15 years of health care payer industry experience, managing large and complicated analyses for senior and executive leadership.
• 10-15 years’ experience working in electronic medical records, such as EPIC, Athena, etc.
• Experience with regulatory reporting.
• Experience with Medicaid, Medicare and Commercial products.

Skills/Abilities/Competencies:

• Must be able to provide consultation to constituents to identify their needs.
• Must be extremely detail oriented and draw well thought-out conclusions.
• Must be able to work independently, and as part of a team.                                                             
• Expert in SQL Server.         
• Excellent critical thinking, analytical and organizational skills                                                                        
• Ability to work well both independently and in a team.
• Excellent oral and written communication skills.
• Attention to detail.
• Business writing and presentation skills; ability to write clear, concise reports, proposals, and business correspondence.
• Ability to influence others and persevere in situations.
• Ability to initiate administrative activities as necessary and institute quality control procedures.
• Ability to manage multiple projects, meet deadlines and adjust to changes in company policies, procedures, and priorities.
• Ability to read, analyze and interpret clinical research, general business periodicals, professional journals, government regulations and legal documents.
• Ability to effectively present information and respond to inquiries from employees, senior management, and regulatory agencies.                                                                   
• Act with a clear sense of ownership.                                           
• Demonstrate Mass General Brigham Health Plans core brand principles of always listening, challenging conventions, and providing value.
• Bring fresh ideas forward by listening to and working with employees and the people we serve.
• Respect the talent and unique contributions of every individual and treat all people in a fair and equitable manner. 
• Strong, demonstrated track record of an ability to execute on time, on budget, and on scope.
• Strong aptitude for technology-based solutions.
• Ability to inject energy, when and where it’s needed. 
• Current in healthcare trends.
• Demonstrated forward, visionary thinking; ability to see “what is” and envision “what could be.”
• Ability to develop, introduce, defend, and gain support for a new ideas and approaches.
•  Excellent leadership skills and leadership track record.
• Ability to translate and communicate complex topics in a variety of forums, tailoring communications to effectively fit and influence the targeted audience, strong executive presence, presentation, and communication skills. Strong verbal, active listening, and written communication skills required. 
• Ability to view the long-range trends and cycles of the business and industry and see the “big picture.”
• Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
• Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
• Excellent interpersonal skills, including the ability to influence others at all levels of an organization. 
• Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.
• Unquestionable integrity.

Fiscal Responsibility:

• Demonstrates fiscal responsibility by effectively using Mass General Brigham Health Plan resources

Working Conditions:

• Normal office working conditions.
• Remote, Hybrid or onsite

 

Physical Requirements

• Standing Occasionally (3-33%)
• Walking Occasionally (3-33%)
• Sitting Constantly (67-100%)
• Lifting Occasionally (3-33%) 20lbs - 35lbs
• Carrying Occasionally (3-33%) 20lbs - 35lbs
• Pushing Rarely (Less than 2%)
• Pulling Rarely (Less than 2%)
• Climbing Rarely (Less than 2%)
• Balancing Occasionally (3-33%)
• Stooping Occasionally (3-33%)
• Kneeling Rarely (Less than 2%)
• Crouching Rarely (Less than 2%)
• Crawling Rarely (Less than 2%)
• Reaching Occasionally (3-33%)
• Gross Manipulation (Handling) Constantly (67-100%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

 

Remote

 

399 Revolution Drive

 

40

 

Regular

 

Day (United States of America)

 

Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

 

Mass General Brigham Competency Framework