JOB SUMMARY

This job oversees all daily operations and functions of the department. The incumbent requires an in-depth knowledge of business systems, data warehousing, data collection and reporting.The incumbentwill be tasked with ensuring all summary and analysis reporting projects are mechanically, statistically and theoretically accurate. Additionally, the incumbentwill be responsible for summarizing, and presenting the results to enhance the organization27s understanding of underlying trends, results and implications. Organizes, assigns, and actively manages to completion the data analysis projects within the department.

ESSENTIAL RESPONSIBILITIES

• Performs management responsibilities to include, but not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
• Plan, organize, staff, directand controlthe day-to-day operations of the department.
• Developand implementpolicies and programs as necessary.
• May have budgetary responsibility and authority.
• Serveas the decision support analytics subject matter expert in the development and implementation of dashboards and reports to support key clinical and operational initiatives.
• Maintainkey relationships with leadership and other stakeholders to proactively identify and communicate performance and continuous improvement opportunities for quality improvement and clinical effectiveness.
• Overseethe ongoing sourcing, assessment, defining, and maintenance of business data to ensure integrity, quality, validity, and overall applicability to the identification, analysis, and interpretation of ongoing trends or patterns in complex data sets for specified projects.
• Provideguidance on opportunities to enhance analytic capabilities with a particular focus on the ability to measure, benchmark and track value metrics.
• Leadthe design, implementation, and maintenance of analytical processes and reports supporting Gateway Health Plan27s performance (internal to the organization and in comparison to industry benchmarks/best practices).
• Managethe utilization of measurement tools, statistical methods and benchmark comparisons to determine and analyze outcome measures in support of organizational goals.
• Partnerwith leadership and process owners to define key metrics and analytic needs for implementation, including dashboards, scorecards, and overall reporting solutions.
• Implementspecial initiatives to support the reporting and analytics needs of the organization as directed.
• Other duties as assigned or requested.

EDUCATION

Minimum

• Bachelor's Degree in Clinical-related field, Business Administration, Healthcare Administration, Health Information Management, or related discipline, or relevant experience and/or education as determined by the company in lieu of bachelor's degree

Preferred

• Bachelor's Degree - Clinical-related field, Business Administration, Healthcare Administration, Health Information Management, or related field

EXPERIENCE

Minimum

• 5 yearsof progressive experience in a clinical or reporting and analysis field in a healthcare organization
• Prior leadership and/or project management experience

Preferred

• Experience in a clinical area/function/organization

LICENSES & CERTIFICATIONS

Minimum

• None

Preferred

• None

SKILLS

• Advanced knowledge of SAS and SQL required
• Advanced computer skills with a strong knowledge of spreadsheet programs required
• Ability to perform under stressful and changing circumstances and deadlines; effective written and oral communication skills; and strong problem solving, project management, teamwork, and organizational skills required
• The ability to assist in ensuring compliance with regulatory agencies and HIPAA regulations required

LANGUAGE REQUIREMENT (other than English)?
None

TRAVEL REQUIREMENT:
0% - 25%

PHYSICAL, MENTAL DEMANDS AND WORKING CONDITIONS

Position Type:

Office-Based

Office-Based Positions

An employee in this position works in an office environment. The position frequently requires the employee to communicate effectively with others both inside and outside the workplace (e.g., in person, via telephone, via email). The employee must be able to understand, interpret and analyze data, solve problems, concentrate, and research, use available technological resources and systems (e.g., computers and computer programs), multi-task, prioritize, and meet multiple deadlines to complete essential tasks. The employee generally works in a fast-paced and frequently stressful environment, must attend work on a regular and reliable basis as well as adhere to all workplace policies, and may be called upon to work outside regular business hours.

Teaches/Trains others regularly

Frequently

Travels regularly from the office to various work sites or from site-to-site

Does Not Apply

Works primarily out-of-the office selling products/services (Sales employees)

Does Not Apply

Physical Work Site Required

Yes

Lifting: up to 10 pounds

Does Not Apply

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company27s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee27s responsibility to comply with the company27s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. 

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidate27s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.