Healthcare Statistical Analyst

Description

 

MUST HAVE at least 5 YEARS of Analysis experience for a HEALTHCARE company.

 

The Healthcare Evaluation Consultant assumes responsibility for the design and creation of analytic and evaluative projects which measure or quantify the impact or effectiveness of clinical programs. This role consults with program stakeholders to improve the design and evolution of healthcare quality programs; and as is instrumental in assessing program impact and value.

Responsibilities:

1. Design and lead the creation, implementation and evaluation of clinical programs by designing, measuring and monitoring clinical process and outcomes measures, and establishing performance goals and standards.

2. Interpret needs and specifications in creating analytical reports which fulfill corporate initiatives as well as obligations to employer groups, physician groups, or as requested by management.

3. Develop programs or queries to retrieve and analyze data for projects, program, or reports requiring sophisticated inferential techniques.

4. Using knowledge of grouping or stratification tools (e.g.:  ETGs, ACGs, DxCGs, APR-DRGs) or methods, develop disease or health risk-based identification, stratification, or adjustment methodologies and algorithms.

5. Apply statistically sound analytic methods within program and projects. 

6. Work across facilities analytic and technical units to define business requirements necessary to support these program performance measurement and evaluation activities.

7. Under the direction of management, provide consultation to program owners in their oversight of external programs or vendors to assure accurate and timely implementation of reporting, analytic, or evaluation components vital to facilities programs.

8.  Support the administration or project management of program or projects falling under the department’s purview.

9.  Provide analytic leadership in the design, implementation and analysis of healthcare programs.

10. Consult and make recommendations to create and improve analytical reports to fulfill corporate initiatives as well as obligations to employer groups, physician groups, or as requested by management.

11. Develop analytic programming or queries to implement clinical measures such as HEDIS or AHRQ.

12. Consult to program owners to improve their oversight of external programs/vendors.

13. Provide administration or project management of analytic work falling under the department’s purview as needed.

 

Requirements Minimum Qualifications:

1. A Master’s degree in a quantitative discipline, such as Mathematics, Statistics, or Economics.
A Bachelor’s degree in a quantitative discipline plus an additional two years of experience, beyond the experience stated below, applying quantitative techniques may be considered in lieu of a Master’s degree.
2. Seven years of analytical experience within a healthcare environment.
3. Five years programming experience.
4. Extensive experience with statistical software packages.
5. Experience with clinical measurements and reporting standards such as HEDIS and AHRQ measures preferred.
6. Experience leveraging grouping and stratification tools such as APR-DRGs, ETGs, or equivalent preferred.
7. Proven experience managing and modeling of large data sets.
8. Demonstrated experience leading and managing projects, negotiating and fulfilling project requirements and deadlines. Ability to influence people.
9. Strong leadership and communication skills with the ability to interact effectively across department lines and with all levels of management.
10. Demonstrated ability to interpret healthcare data and effectively present highly sophisticated analysis and findings to both subject matter experts and lay audiences.

Additional Qualifications Required:

SAS or SQL programming experience Required.