The Clinical Value Analyst is responsible for monitoring, analyzing, distributing and communicating data from various sources in order to meet internal and regulatory reporting requirements and to inform and support organizational decision-making. Performs data analysis and facilitates the use of data in improving patient outcomes and high value care, identifying and sustaining improvement initiatives, and monitoring metrics that support organizational goals. Responsibilities include data abstraction, analysis, monitoring and submission as well as working with users across the organization to utilize data effectively. This position is critical to ensuring OHSU Health is a transformative, data-driven organization with an uncompromising focus on quality and outcomes.
Key Responsibilities & Performance Standards
- Performs queries, benchmarking, and additional opportunity analysis on patient outcomes and resource utilization
- Prepares and presents statistical reports, dashboards, and charts/graphs
- Identifies and investigates data integrity and discrepancy concerns
- Participates in data validation activities, ensuring reliable and accurate measurements
- Supports use of data throughout the provider network and partners with system leaders and staff to identify areas of greatest opportunity and support value initiatives
- Collects, enters, and reports data accurately using a variety of software programs, including reports due to external agencies such as Health Share, CMS or other payers
- Ensures data submissions are accurate, timely and meet all required specifications
- Prepares and presents progress reports to regulatory or other agencies as appropriate
- Serves as a quality metric expert and stays abreast of regulatory reporting requirements
- Ensure OHSU Health Plan Services programs meet all quality incentive metric targets and PIP requirements on a continual basis.
Performance improvement projects
- Analyzes and monitors data trends related to quality, cost, outcomes and value to identify opportunities for performance improvement projects (PIPs).
- Makes recommendations related to prioritization of PIPs
- Develops and implements PIPs, in collaboration with other team members and key stakeholders, as needed in order to meet quality, cost, outcomes and value targets
- Participates in statewide and CCO-wide PIP’s and represents OHSU Health at relevant stakeholder groups.
- Develops and regularly distributes reports to assist clinicians and staff in meeting OHSU Health performance targets related to quality, cost, outcomes and value
- Develops and provides assistance in implementing workflows with providers and patient care teams in order to meet quality, cost, outcomes and value targets.
- Develops and provides formal and informal education and training, including classes, workshops, manuals, handbooks and other educational materials
- Participates in continuous education, including monthly coordinator calls, webinars, and other education opportunities; maintains expert knowledge and remains current in new trends and innovations
- Develops and maintains collegial relationships with other UM/QI professionals by participating in quality and performance improvement activities and meetings as necessary for Health Share, CMS and delegated health plans.
- Demonstrates excellent organizational skills and effectively manages multiple priorities and deadlines.
- Effectively uses the PDSA Quality Improvement process
- Other duties as assigned
FISCAL RESPONSIBILITIES: Monitors expenditures against departmental budget; prepares necessary documentation for supervisor review/approval; tabulates budgetary data, calculates figures, and checks for accuracy.
Education & Experience:
- A Bachelor’s degree in finance, business management or related field; AND
- Two years of industry related experience that includes project management, financial accounting, management reporting and analysis of specialized work processes standards, regulations; statistics or quantitative analysis methods and procedures, OR
- An equivalent combination of education, training and/or experience.
Job Related Knowledge, Skills and Abilities (Competencies):
- Strong project management and analytical skills, with knowledge of electronic medical records, clinical data analysis and data mining capabilities.
- Knowledge of effective performance improvement strategies and techniques.
- Ability to organize and prioritize projects in order to maximize productivity and efficiencies
- Effective oral and written communication and interpersonal skills with all levels of internal and external customers, including health care providers and managed care organization representative
- Proficiency in Microsoft Office applications; strong proficiency in Excel
- Self-motivated, self-driven, flexible person who can flourish in an office setting with colleagues as well as in a self-structured independent setting.
- Ability to process and handle confidential information with discretion
- Ability to support multiple initiatives and balance priorities. Ability to adapt to change quickly and positively
QUALIFICATIONS: As part of the qualifications requirement, the following Core Competencies are expected of all OHSU employees regardless of their position within the organization.
Inclusion, Collaboration and Teamwork: Every person matters. We benefit from the rich variety of ideas, skills and perspectives that emerge when we work together. Our collaboration fuels innovation, better solutions to complex problems, and a sense of community. Cultivating a climate of inclusion and respect enables us to partner with those who can help OHSU achieve its vision.
Organizational Perspective: We are all connected. Whether our role is caring for patients, inspiring students, advancing scientific knowledge, or supporting those endeavors, each person’s work impacts another’s. When we understand how our actions and decisions affect the whole, we can better align the needs of our workgroup with the best interests of OHSU. We have a common purpose that guides what we do and why.
Performance Results: We work hard to make great things happen. We hold ourselves and our colleagues to high standards of performance that are focused on results. We pursue excellence by giving and receiving feedback openly and directly. We continually seek to improve ourselves and our work by setting goals, measuring outcomes and developing our knowledge and skills. We exceed expectations in pursuit of our vision.
Personal Effectiveness: We are strong in character. As individuals, we value integrity and inspire trust. We meet obstacles with calm resolve, and can adapt quickly to change. We continue to move forward, even when the way is unclear. Each of us aspires to be our best self, accountable for the work we do and dedicated to the purpose of OHSU.
Must be able to perform the essential functions of the position with or without accommodation
WORKING CONDITIONS: This may include such items as work schedule, work location, travel and environmental exposures such as noise, human tissues/fluids or radiation. Moderate noise (i.e. business office with computers, phone, and printers, light traffic). Travel to various locations.
- Three or more years of healthcare experience
- One or more years of healthcare data analyst experience
Job Related Knowledge, Skills and Abilities (Competencies):
- Working knowledge of EPIC information system
- Knowledge of ambulatory and acute care operations and workflows
- Knowledge of the Oregon Health Authority, CMS, NCQA, and other regulatory agency standards
- In-depth experience with systems and process improvement
- Proficiency in Epic
Registrations, Certifications and/or Licenses:
- Certified Professional in Healthcare Quality (CPHQ)
- Registered Health Information Technician (RHIT)
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or email@example.com.