Healthcare Reporting Analyst at Wellbe Senior Medical

United States

Job Summary WELLBE INTRODUCTION The WellBe care model is a Physician Led Advanced Practice geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams’ partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum. GENERAL SUMMARY This role will advance WellBe’s understanding of our patient's healthcare utilization and how we can reduce unnecessary healthcare costs while achieving better patient outcomes, and patient experience. The ideal candidate will have a solid knowledge/understanding of healthcare data sets, including medical claims, HCC, HEDIS, Eligibility and Census. This role reports to the Manager of Data and Quality Management and works closely with operational and clinical leaders. The HealthCare Reporting Analyst will be responsible for collecting, preparing, and acting upon data to ensure data integrity. This role will give you the opportunity to use your analytical knowledge and skill to derive insights which will drive actions and generate value from that intelligence by initiating new analytic solutions and by providing input to operations processes. We are looking for a digital native with a curious and inventive mind, obsessive attention to detail, and an instinctive understanding of how to explore, understand and communicate data; someone who appreciates the importance of clarity, simplicity and has the creativity to envision outstanding user experiences and the discipline to make them real. A wonderful opportunity to be part of an incredible team who work tirelessly to provide concierge level medical care to an often-underserved community. Job Description SKILLS & COMPETENCIES Responsible for analytic data needs of various business unit Handle complex data projects and acts as a lead for other Data Analysts Daily administration and proactive monitoring of business-critical data in integrated databases Manage process queues and mitigate any exception output within expected SLAs Manage the quality of data processed through health plan and partner submitted data sources Perform accuracy checks and resolve exceptions produced by integration processes Provide data stewardship and governance for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management. Develop reports and deliverables for management Create data dictionaries to document data types, associated business rules, and remediations paths Test and correct errors, and refine changes to database Perform end to end diagnostic analytics to identify data anomalies to be resolved and fixed at source Assist with training and mentoring other Data Analysts. Work with key business owners to establish and meet their data needs and the data needs of the organization Work with IT and Analytics teams to operationalize analytic and reporting innovations Other tasks needed to accomplish team’s objectives/goals Answer user questions Confers with co-workers to determine impact of database changes on other systems Job Requirements Educational/Experience Requirements: Bachelor’s degree in related field or equivalent experience. 4 years of data stewardship or data analysis experience. Healthcare experience required. 2+ years of experience in health care data analysis Required Skills and Abilities: Advanced knowledge of Enterprise Reporting and Analysis tools, SQL, and visual analytic applications. Proven experience, ideally in healthcare, with Data Governance, Catalog and Data Quality products. Hands-on experience defining data and quality standards and building data integration workflows in a data analyst role. Fluency in SQL or other similar programming languages. Some development experience in at least one scripting language (Python, R, etc.) is a plus. Experience launching internal metric dashboards and scorecards Snowflake experience preferred Computer programming basics to interpret and understand logic/code behind Sponsorship Statement WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Pay Transparency Statement Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws. Safety-Sensitive Statement This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana—including medical or recreational use—is prohibited. WellBe Senior Medical will comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations. Drug Screening Requirement As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion of drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Background Check Statement Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations. Equal Employment Opportunity (EEO) Statement WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Americans with Disabilities Act WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at HRPeopleLine@wellbe.com At-Will Employment Statement Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract. Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary. Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods Ability to drive to patient locations (ie. home, hospital, SNF, etc) Fine motor skills Visual acuity The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.