• Principal Population Health Management Analyst

    Location US-MA-Boston
    Job Posted Date 4 months ago(6/24/2019 1:18 PM)
    Job ID
    2019-16045
    Category
    Operations
    Type
    full time
    Grade
    24
  • Overview

    The Population Health Management (PHM) team at DFCI conducts analyses used to provide actionable information to the different operational and clinical departments across the institute. The team has access to an extraordinary range of healthcare data including medical and pharmacy claims, enrollment, EMR (Epic), scheduling, billing, referral and laboratory results. Using this data, the team supports reporting and analyses in areas such as operations, quality measurement, trend management, utilization, patient management and outcomes.

    The PHM Principal Analyst must develop an in-depth understanding of our data and data structures as well as the ability to translate specifications into programming logic, and create visualizations and reports. The Principal Analyst provides collaborative and innovative analytic support across all divisions and teams of the institute, leveraging big data. The Principal Analyst will be responsible for advanced analytics using large datasets sourcing elements from potentially diverse data sources, implementation of exploratory and predictive analyses, visualization of data, and communication and presentation of results. In addition, the COBA Principal Analyst must have excellent communication skills and ability to engage and educate the analytic community on how to leverage the variety of data sources. The Principal analyst will be expected to take the lead on new strategic and complex analytic projects, function independently within a fast-paced environment, work on several different projects/tasks concurrently and serve as a data advisor to PHM team and project teams as new projects or ad hoc reports are collaboratively being developed. Assignments will include complex data analysis projects that can be multi-disciplinary or interdepartmental.
    The Principal Analyst will also collaborate with the Data Management team to address data requirements for analytic reporting.  The Principal analyst will work with a variety of tools (ex: SAS, SQL, Excel, Oracle, Tableau etc) to access data, write queries, develop programming logic, manipulate, and analyze large datasets to meet the overarching needs of institute. The Mission, Vision, and Core Values of the Dana-Farber Cancer Institute are incorporated into all areas of practice.

     

    Responsibilities

    Population Health Management

    The Department is responsible for designing and scaling the complex care management program for high-risk oncology patients with specific attention on developing a system that tracks and reports how DFCI manages these patients once they finish their acute phase of treatment. Health care integration among the different figures in the system is necessary for the program’s success.

     

    Pay-for-Performance & New Payment Models

    The Department is responsible for directing and managing Institute and Affiliate-wide clinical initiatives that relate to Pay-for-Performance projects with the 3 main private payers in Massachusetts. The team works closely with the Chief Quality Officer and is responsible for successfully implementing and completing assigned projects within the dedicated timeframe, ensuring DFCI meets all Pay-for-Performance targets.

     

    In addition, the Department is in charge of evaluating emerging payment models including the CMS Center for Medicare and Medicaid Innovation (CMMI) alternative payment models (APM).

     

    Risk evaluation, financial analyses and analyses of potential payment models on DFCI’s current health care delivery model will be required of the Business Analyst.

     

    Clinical Pathways-Cost Management

    As one of the Institute’s priorities, Clinical Pathways is an important major initiative. The Department is in charge of defining and developing the Pathways costing infrastructure.

     

    Public Reporting and Value Based Purchasing

    The Department assures and develops an infrastructure to define and report meaningful metrics from different perspectives: Clinical Outcomes (physician and patient reported), data collection & abstraction and capacity for improvement.  This work should be aligned (following &/or leading) with what is discussed and proposed within the Alliance of Dedicated Cancer Centers

    The Principal Business Analyst will report to the Senior Manager of Population Health Management and is responsible for assisting in guiding cost effectiveness interventions and providing analytic expertise and support for all projects performed within the Department.  The position will require utilizing different internal and external mixed data sources (clinical and financial) to understand DFCI’s patient population and to help improve the quality and efficiency of care DFCI provides.

     

    PRIMARY DUTIES AND RESPONSIBILITIES:

     

    • Conduct payment policies analysis and reviews to keep up to date the oncology payment reform knowledge asset for the Institute
    • Prepare complex, comprehensive, iterative, timely and accurate multi-part analyses to support several lines of financial business across the Institute
    • Develop a summary detailing important insights and opportunities for designated business client(s)
    • Assist with preparing detailed analyses to support cost-effectiveness projects
    • Assist in the development, implementation, and operation of systems and processes to support the activities and goals of the department
    • Support ad hoc analytic requests, providing accurate and timely data analysis and insightful interpretations
    • Escalate any known barriers that may hinder the department from achieving deadlines and goals
    • Serve as a resource to interns and co-op students as well as SME within the team
    • Develop and deploy advanced statistical analysis, machine learning algorithms, predictive models, and classification methods to advance cancer care and inform clinical and financial decision making
    • Collaborate with researchers and clinicians to identify high-impact opportunities for analytics
    • Utilize business intelligence tools (e.g. Tableau and Microstrategy…) to create reports and dashboards
    • Perform other similar and related duties as required or directed

    Qualifications

    MINIMUM JOB QUALIFICATIONS:

     

    • Master’s/PhD or equivalent in Statistics, Biostatistics, Health Management, Health Economics, Health Policy and Management or related field with minimum of 5-10 years of related work experience in healthcare industry or PhD in Bioinformatics, Epidemiology or Computer Science
    • Core competency in at least two of the following: SAS, SQL, Stata, medical records or claims data.
    • A strong desire to explore, investigate, dig, and generally uncover patterns and puzzles in data while maintaining a strong sense of thoughtful and pragmatic solutions
    • Requires superior computer skills, i.e. MS Excel, Access, PowerPoint, Word and data mining techniques.
    • Experience with business intelligence tools, such as Tableau is a plus
    • Advanced programming abilities and/or statistical software skills are required.
    • Must be able to function independently in a fast-paced environment while managing multiple priorities
    • Must have superior interpersonal and communication skills to effectively work and communicate with all levels of internal and external technical and non-technical staff

     

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