Careers

Amazing career experiences that make a difference. DVACO provides opportunities to become part of a diverse team that drives the clinical initiatives to transform healthcare in one of America’s most vibrant regions.

“In this time of my career, I can’t imagine a greater opportunity to enhance and transform the US Health Care System every day.”

Joel Port
Senior Vice President of Business & Network Development

Current Job Openings

Lead Outreach Coordinator

JOB SUMMARY:

Under the supervision of the Director of Quality, identifies patient care needs for/with the health care team (providers and clinical support staff) and assists with care gap activities including protocol-driven care management services, practice transformation, and education for DVACO patients.

Collaborates with patients, families, primary and specialty care providers in multiple practice sites to assist with care gap identification and closure, facilitate clinical guideline adherence, and coordinate services specifically related to the patient’s health care needs. Follows and assists with development of algorithms for assessed patient needs/gap closure, education pathways, clinical guidelines and diagnostic tests to aid the patient and primary care team with individualized plans of care.

Maintains documentation and collaborates with the health care team to adjust interventions to maximize clinical, quality, and fiscal outcomes.

Leads and/or participates in the integration of Quality Improvement and practice transformation activities/projects as required.

Collaborates with other members of the DVACO outreach and health care teams to achieve quality metrics that contribute to and allow for maximizing shared savings.

ESSENTIAL ACCOUNTABIITIES:

  1. Works closely with Director and Quality Analyst to identify populations that require intervention and cooperatively develop plan to close care gaps
  2. Participates in the implementation of design of interventions to DVACO practices. Coordinates with the provider, patient and other internal and external health care team members to identify/implement patient specific strategies to identify and implement care based on EMR information and gaps in care.
  3. Assists and supports with health care team with education/clinical guidelines.
  4. Contributes to the development of education and clinical pathways to support comprehensive and consistent disease management education to close patients care gaps. This includes the collaboration with primary care and specialty providers as well as the health care team to enhance clinical guideline adherence and promote best practice by initiating pre-visit planning and preventive and specialty care education and scheduling services when appropriate
  5. Collects data and document as required for care gap management. Works with the Practice Transformation and Care Coordination team to evaluate outcomes for these programs according to Best Practice standards.
  6. Maintains patient confidentiality and protects Protected Health Information (PHI) with all activities in Care Gap Management programs.
  7. Utilizes Care Gap outcomes to promote appropriate interventions
  8. Assists with active/reactive outreach by identifying strategies and developing priorities to identify high priority populations and conduct follow-up interactions to assure gap closure.
  9. Works with the Practice Transformation and Care Coordination teams to identify barriers, develop strategies for process improvement, and identify clinically at-risk populations.
  10. Participates with QI team to improve Quality strategy.
  11. Attends and participates in professional development opportunities as needed to support the work of Quality Improvement/Practice Transformation programs.
  12. Incorporates motivational interviewing, active listening, and demonstrates excellent verbal, written, and problem solving skills into patient interactions.
  13. Participates in annual MSSP Quality Submission
  14. Performs other duties as required or assigned

Primary Customers or Key Working Relationships:

  1. Serves a unique and diverse population that spans the age spectrum
  2. Work closely with DVACO Quality Analyst and other quality/clinical team members
  3. Works as part of an internal/external multidisciplinary team that includes both physician and mid-level providers, medical assistants, patient service representatives, coordinators, and administrators.
  4. Works with internal clinical/practice transformation, and oversees work /goals of Outreach Team

SKILLS / COMPETENCIES / QUALIFICATIONS:
Skills and Competencies:

  1. Demonstrates effective communication skills, balance of tenacity and diplomacy with the ability to interact positively and effectively with patients, families and care team members at all levels of the organization.
  2. Demonstrates the ability to work independently and as part of a team including establishing priorities and the capability of handling multiple initiatives simultaneously while meeting strict deadlines/timelines. This includes the ability to be flexible and function effectively in a fluid, dynamic, and rapidly changing environment.
  3. Demonstrates understanding of general physician practice operations. Demonstrates computer skills and proficiency in using multiple electronic health records and other applications, and is familiar with population health in a patient-centered care delivery model.
  4. Possesses well developed management skills with ability to manage both processes, and staff effectively and efficiently
  5. Demonstrates skill in retrieval, manipulation and analysis of data and understanding of computer software using Microsoft products.
  6. Demonstrates a strong customer service attitude.
  7. Demonstrates strong, organizational, and problem solving skills and understanding of clinical processes.

QUALIFICATIONS:
Education:
Associates Degree in Health Care or graduate of an accredited clinically oriented program as either an RN or LPN required. In lieu of degree, certified MA with at least 6 years of significant managed care experience will be considered.

Licensures & Certifications:
Current clinical certification/licensure (LPN, RN)

Experience:

  • Minimum of three years of demonstrated clinical experience required, preferably in an ambulatory setting.
  • Previous management experience, Office Manager Experience preferred.

WORKING CONDITIONS:
Equipment Used:

  1. Computer literate.
  2. Work is typically performed in a corporate office/clinical practice environment with defined hours.
  3. Occasional visits to provider offices may be required

Exposures:

  1. None

We offer competitive compensation and outstanding comprehensive benefits including generous paid time off, tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at https://www.mainlinehealth.org/careers , Job ID 45726

Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls

Population Health Medical Director

Reporting to the CEO, the Population Health Medical Director will be the primary owner of physician engagement strategies and tactics. They will be responsible for developing, deploying, and championing a transformational clinical strategy for improving population health outcomes, quality and experience of care, and cost of care for the populations served by DVACO in an environment which is rapidly moving towards significant downside financial risk. This position supports population health and clinical aspects of payer relations and contracting, provides clinical oversight of all care management and care transformation initiatives.

Education:
M.D. or D.O., Board Certification in Internal Medicine or Family Medicine (preferred) • Master’s Degree in Business Administration, Health Administration, Public Health or related field or equivalent related experience.

Licensures & Certifications:
Unrestricted PA medical license required, up to 20% FTE of ongoing clinical practice desirable

Experience:

  • At least 5 years of experience in leadership-level position with a proven track record in population health, with a strong preference for managing outcomes in a complex risk-bearing entity including a variety of populations (e.g. Medicare, commercial, employer-based)
  • Direct experience with the Medicare Shared Savings Program (or equivalent) is strongly preferred. Experience with care models that support bundled/episode payments is a plus.
  • Demonstrated ability to lead groups of physicians through change, with and without direct authority, using influence, trust, and thought leadership.
  • Strong clinical background with at least 5 years in direct clinical practice, preferably in primary care.
  • Experience in targeting programs at population health segments (e.g. chronic/complex illness versus health promotion) and measurement of program effectiveness.
  • Proven strong leadership, business, communication, organizational, analytical and relationship skills.
  • Proven experience in successfully facilitating collaborative, cross-functional projects.
  • Direct leadership experience in value-based care models and/or clinical integration is essential
  • Able to manage multiple tasks in an uncertain and fast-paced complex environment with multiple stakeholders.
  • Commitment to patient-centered care team models, and role models multidisciplinary team leadership at the DVACO level.

Position requires ability to travel regionally throughout DVACO market – valid driver’s license and own vehicle. Occasional out-of-region travel as needed.

We offer competitive compensation and outstanding comprehensive benefits including generous paid time off, tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at https://www.mainlinehealth.org/careers , Job ID 45619

Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls

Health Coach

The Health Coach will support clients with achieving health improvement goals, reducing lifestyle related risk factors, and effectively managing any health conditions. They will be responsible for developing a strong rapport with each client using motivational interviewing techniques, and a participant centered approach. Coaches will use a holistic approach to consider all aspects of health behaviors, which could impact the success of the client. Coaches must be passionate about helping others achieve optimal health and wellbeing. They should be knowledgeable, professional, personable, and be able to connect with and inspire a wide variety of client personalities and temperaments.

This is a part time 20-hour a week position, 4-8pm or 5-9pm 5 days a week. Weekend coverage needed, one Saturday morning occasionally. Position will initially work from home but must be able to travel to Radnor and other local DVACO facilities as needed.

Education and Training:

  • Minimum of a Bachelor’s Degree in Nursing, Health Education, Exercise Science, Nutrition, or other health related field.
  • Certification in Health / Wellness Coaching preferred

Experience and Knowledge:

  • Three years of experience in health coaching, nutritional counseling, nursing, health education or similar role.
  • Broad knowledge of the causes of chronic illnesses such as heart disease, diabetes, hypertension, obesity/metabolic syndrome, etc.
  • Experience in applying lifestyle factors and behavior change to accomplish disease prevention and risk reduction.
  • Expertise in behavior change concepts and theories including motivational interviewing, readiness to changes, health belief model, etc.

Licensure and/or Certification:
Certifications in Coaching, Dietetics, Health Education, Counseling, etc. preferred.

Skills:

  • Adept at motivating clients to take action to improve their health habits, including exercise, healthy eating habits, weight management, tobacco cessation, stress reduction, etc.
  • Strong interpersonal skills with the ability to inspire clients who have low confidence in their ability to change behaviors and accomplish personal health goals.
  • Must be patient centered and have excellent problem solving skills.
  • Broad knowledge of online and community resources a plus.
  • Must have good computer skills and experience working in CRM databases

Duties and Responsibilities:

  • Schedules periodic telephonic (or in person) coaching session to meet the needs of each participant.
  • Conducts appropriate assessments to identify health risk profile of participant.
  • Facilitates identification of client’s health improvement goals.
  • Develops action plan with client to address barriers to goal achievement.
  • Appropriately adapts coaching and education methods to accommodate the unique physical, psychosocial, cultural, age-specific needs of each client
  • Demonstrate established customer service skills
  • Utilize software to effectively record session data and communicate with client
  • Strive to develop and support the member’s ability to self-manage their condition(s).
  • Contacts members’ physician when needed especially in more complex medical situations requiring higher level case management intervention.
  • Monitors the quality of service
  • Identifies on-line, telephonic and community based resources that can assist the member in achieving and maintaining their personal health goals. Assist the member in accessing those services.
  • Assist participants in maximizing the use of member’s medical benefits and ensuring coordination of services and outcomes.
  • Ensures all activities are documented and conducted in compliance with applicable regulatory requirements and accreditation standards.

We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at https://www.mainlinehealth.org/careers , Job ID 45543

Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls

Care Coordination, Clinical Analyst

JOB SUMMARY:
The DVACO Clinical Care Analyst assigned to Care Coordination will work directly with the Manager of Care Coordination to positively influence the quality outcomes and reporting metrics in the Care Coordination environments of care. The essential accountabilities of the job description will be applied to the Care Coordination environment working specifically but not exclusively with our Care Coordination staff and our Pod partners to manage patient referrals and report out on care coordination activities. The Care Coordination Clinical Care Analyst will work with Wellcentive, Patient PING platform, Formsite, Microsoft Excel and Access and other similar tools yet to be defined to meet the essential accountabilities. Healthcare knowledge and prior experience working in the hospital or physician practice is preferred.

Works as part of the DVACO Clinical team to collect, process, integrate, analyze and present data; provide tools, descriptions, answers and guidance for projects to improve clinical quality and financial success for the ACO and its participating partners. Manages and meets reporting deadlines for assigned deliverables and ad hoc reports. Role will provide administrative, project management and care coordination/transitions of care support to the team.

ESSENTIAL ACCOUNTABILITIES:

  • Administrative duties.
  • Managing relationships includes electronic, phone, and in person communication often with direct consultation with clinical staff to help manage the DVACO patient population.
  • Arranges subcommittee meetings (schedules, produces documents, and compiles meeting notes) to support the DVACO clinical initiatives.
  • Serves as technical support to clinical staff in trouble shooting issues with care coordination and information management software.
  • Collects data from disparate partners and from various sources including the care coordination software, to produce daily, weekly and monthly reports to evaluate and improve performance..
  • Handles non-clinical phone calls. May conduct research on resources.
  • Help administer updates to our web site, and help with the administrative functions of creating policies, curriculum/training documents, etc.
  • Retrieve data to produce department reports and help evaluate/track performance metrics.

Other accountabilities:

  • Complies with all work/safety rules and procedures.
  • Complies with all work rules concerning time and attendance and adjusts work hours as dictated by responsibilities.
  • Seeks assistance and supervision when needed.
  • Adheres to departmental dress code.
  • Attends and participates in continuing education and departmental meetings.
  • Demonstrates a positive attitude, interest, and enthusiasm toward job and others.
  • Demonstrates independent action to resolve problems and informs manager of problems and unresolved issues.
  • Interacts positively and professionally with peers and others.
  • Able to work independently with minimal supervision
  • Meets departmental confidentiality policy of all materials processed.
  • Adheres to the MLHS leave policy.
  • Flexible hours as required to meet the goals and objectives of the department and the organization.
  • Occasional Travel

Primary Customers or Key Working Relationships: Patients, physicians, nurses, case managers, family, visitors, external agencies, management, employees within/outside department, vendors and other staff within Main Line Health and Jefferson Health System.

QUALIFICATIONS:

Education:
Bachelor’s required. Master’s degree in Healthcare related field or in progress preferred.

Experience:
Three (3) to five (5) years experience with PC-based applications such as Windows, MS Office, and Relational Databases (i.e. MS Access, SQL, Oracle). Excellent skills utilizing word processing, spreadsheets and data file management software. Must be super user of Excel and databases.

Healthcare knowledge including experience in a healthcare setting specific to the accountabilities described in the position addendum preferred.

  • Experience with basic statistical analysis.
  • Ability to organize data in a meaningful way using detailed, summary or graphical formats.
  • Excellent verbal and written skills to interface with physicians, office staff, care management team, nursing staff, ancillary staff, vendors, outside customers, insurance companies and government agencies.
  • Familiarity with EMR/EHR’s.
  • Knowledge of medical terminology, clinical diagnosis, Medicare and procedures generally acquired through education and/or experience in health care related environment preferred.
  • Previous project management experience preferred.

WORKING CONDITIONS:

Equipment Used:
Computers, Printers, Scanners and related hardware and copy machines.

Exposures:
As outlined in Hospital and Department Safety Policies and Procedures.
Since interaction with clinical staff may be required, exposure to other substances in these areas is possible.

If interested, please apply online at https://www.mainlinehealth.org/careers , Job ID 45827. Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls.

Care Coordinator RN

JOB SUMMARY:

The RN Care Coordinator (Health Coach) is a Registered Nurse who facilitates patient continuity of care with the healthcare team. Under the clinical direction and oversight of the Primary Care Physician, the Care Coordinator coordinates care for high risk/complex patients by collaborating with the patient, family, physician, nurses, and other members of the healthcare team to identify needs and expedite appropriate, cost effective care. S/he assists in the development of the patient’s care plan and collaborates with the Primary Care Physician to provide leadership in issues of outcomes management, disease management and prevention, and development of improved strategies to benefit high risk patients. The Care Coordinator will serve as the patient’s primary conduit to the primary care provider as they help coordinate necessary services both within and outside the practice, coordinating care from a variety of sources—physicians, specialists, home care providers, rehab centers, pharmacists, etc. They will engage patients and encourage them to take an active role in their health by providing them with the tools necessary to make healthy lifestyle choices and adopt life-long healthy behaviors.

ESSENTIAL ACCOUNTABILITIES:

  • Contact ACO members to determine if there is a need for case management intervention based on guidelines, protocols and timeframes established for the applicable clinical program.
  • Provide care coordination according to program descriptions including member education, follow up on a timely basis and eliminating barriers to care.
  • Conduct comprehensive assessments that include the medical, behavioral, pharmacy, and social needs of the member. Review data for services the member has received and identify gaps in care based on clinical standards of care.
  • Based on assessment of members needs and environment, identify applicable barriers, problems, goals, and interventions that will close gaps in care and address those needs and improve or maintain the health status of the member.
  • Successfully engage member to develop an individualized plan of care to promote healthy lifestyles, close gaps in care, and reduce unnecessary ER utilization and hospital readmissions. Develop and coordinate the individualized plan of care with the member, member’s family, providers and community agencies as applicable. Involve other staff to support the individualized plan of care based on identified needs of the member
  • Follow-up with the member according to established clinical program protocols and timeframes to monitor their status, evaluate the effectiveness of the individualized plan of care, and identify new needs. Modify the individualized plan of care or case status based on the status of the member.
  • Document care coordination activities based on the DVACO clinical platform in a timely and accurate manner; assuring the DVACO the ability to comply with professional documentation standards, compliance of DVACO contracts, and quality data collection.
  • Perform duties and responsibilities in accordance with the philosophy and standards of the DVACO, including conveying courtesy, respect, enthusiasm, and a positive attitude through contacts with staff, health plan members, peers, and external contacts.

Primary Customers or Key Working Relationships: Patients of the DVACO, Primary care Providers, Medical Specialists, Hospital Case Managers, Home Health Agencies, Pharmacies, DVACO Program Managers, Supervisors and Support Staff, Community Agencies/Providers

QUALIFICATIONS:

Education:
Graduate of an accredited School of Nursing, Bachelors degree required, MSN preferred.

Licensures and Certifications:

  • Valid Pennsylvania RN licensure required
  • Bachelor’s degree in nursing required
  • Case Manager (CCM) certification preferred

Experience:

  • 5 years experience in clinical, utilization management, home care, discharge planning, and/or case management required QUALIFICATIONS:
  • 3 years experience in a managed care environment preferred
  • Ability to interact with physicians and other health care professional in a professional manner required
  • Computer proficiency required.
  • Excellent verbal and written communication and interpersonal skills required
  • Ability to prioritize daily tasks and caseload activities to meet patient needs and turnaround times
  • Knowledge of managed are models financial reimbursement systems, clinical case management processes and utilization management issues
  • Knowledge of NCQA (PCMH) guidelines for care management

WORKING CONDITIONS:

  • Occasional travel within 50 mile radius of Philadelphia.
  • Possibility of offsite meetings at provider offices, community agencies or other clinical settings. Occasional seminars or training sessions in the Philadelphia area.

If interested, please apply online at https://www.mainlinehealth.org/careers, Job ID 45888. Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls.

Actuarial Analyst II

Delaware Valley Accountable Care Organization (DVACO), located in Radnor, PA has a newly created opportunity for Actuarial Analyst II

The DVACO is a limited liability joint venture corporation comprised primarily of two major health systems: Jefferson Health and Main Line Health, serving the Greater Philadelphia region and southern New Jersey. DVACO was accepted into the Medicare Shared Savings Program for the 2014 start year, and now includes 2,000 physicians serving over 180,000 lives. DVACO contracts with four commercial payers and serves Medicare beneficiaries, making it the region’s largest Accountable Care Organization. At the core of operations, DVACO is committed to working towards the achievement of the triple aim: better outcomes, better experiences, and smarter spending. Our culture embraces innovation of healthcare delivery models through collaborative work with physician practices, health systems and employee wellness programs.

Why Work for Main Line Health?
We are committed to providing exceptional care with empathy and compassion for people at all stages in life. Our Diversity, Respect and Inclusion Initiative celebrates our differences and our similarities. Ultimately, we want everyone to feel respected for who they are.

The Actuarial Analyst II will be assist\lead with the development of new measures and metrics, creates new reports and analytical solutions, produces analytics used to measure quality and efficiency performance quantifying DVACO, MLH\JHS PODs and other associated business partners’ performance in multiple Value Based Purchasing contracts.

Responsibilities include supporting the various reporting and analysis needs of the DVACO and the PODs (i.e., JHS \ MLJ Integrated Network (CIN).

ESSENTIAL ACCOUNTABILITIES:

  • Produces system-wide reporting and performance management arrays in support identifying open care gaps, utilization leakage/keepage and other revenue enhancement opportunities.
  • Develops analytics to clearly identify drivers of adverse trend performance and/or benchmark achievement.
  • Develops and/or utilizes existing actuarially sound models in support of predictive analytics, risk adjustment and benchmark models.
  • Creates and presents executive level summaries that clearly depict performance and opportunities for improvement in all value based purchasing programs.
  • Executes analytic processes required to support population health at Jefferson, including but not limited to case-mix adjusted physician profiling; operational, quality, cost and utilization analytics; risk analytics; trending and forecasting; predictive modeling; program evaluation using advanced techniques; actuarial analyses; and data mining.
  • Continuously develops data expertise needed to optimally use business and other data to support population health reporting and analytics tools and processes; includes expert data knowledge, quality control and following appropriate standards.
  • Participates in all required meetings, educational overview sessions, product implementation and review sessions as communicated by the Manager, Actuarial Informatics
  • Effectively collaborates with team peers, other Enterprise Analytics team members and partners throughout the business.
  • Communicates effectively within informal and formal channels, including written communications, presentations and informal communications with peers, management and business partners.
  • Acquires knowledge about DVACO and JHS\MLH Pods system and processes, as required to support population health reporting.
  • Interacts with co-workers, visitors, and other staff consistent with DVACO values.

QUALIFICATIONS:

Education:

BS required in Business, Mathematics, IT or data relevant field

Experience:

Minimum of 3 years related professional work experience in a progressive healthcare setting required. One year of experience may be granted for passage of at least one or more Society of Actuarial (SOA) exams or active in the Exam Program.

Technical Skills\Capabilities

  • Maintains proficiency and expertise in Health Plan data applications, state of the art business intelligence software and reporting tools that include, but are not limited to, MS SQL Server Components (Query Analyzer & coding, SSRS, Analysis Server, Stored Procedures, Jobs, and Functions), Business Objects (Tableau, Qlik, Crystal Reports, Crystal Enterprise, Crystal Analysis and OLAP), SAS, Microsoft Office (Word, Excel, PowerPoint, and Access) and grouper and predictive modeling software (3M and CGI) to prepare complex multi-factorial analysis. Synthesizes and Interprets analyses.
  • Capable of programming in SAS, SQL Query Construction or other programming language.

Other Skills\Capabilities

  • Demonstrates strong mathematical, statistical, financial, technical, interpersonal, organizational, project management skills, and ability to maintain confidentiality.
  • Demonstrated ability to identify problem areas and take initiative to identify and implement appropriate solutions Self-motivated

We offer competitive compensation and outstanding comprehensive benefits including tuition reimbursement, 403B matching savings plan and a pension plan. If interested, please apply online at https://www.mainlinehealth.org/careers , Job ID 45573

Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer. Please, no agency calls

Actuarial Analyst 3

JOB SUMMARY:

The Actuarial Analyst 3 will be responsible for interpreting data, leveraging analytical tools and making recommendations to key stakeholder at the DVACO and Jefferson (JHS) \Mainline Health (MLH) PODs. Is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with all levels of management, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Provides supervisory guidance to less experienced analysts and proactively coaches and mentors others throughout the system.

ESSENTIAL ACCOUNTABILITIES:

  • Ability to serve department as a subject matter expert.
  • Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders.
  • Provides supervisory guidance to less experienced analysts.
  • Proactively coaches and mentors others throughout the system.
  • Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership.
  • Produces analytics used to measure and quantify DVACO and associated business partners’ experience through reporting using CMS data and other internal/external data.
  • Works with the DVACO clinical and financial team to identify trends and patterns in these complex data sets, draw conclusions, develop summaries utilizing charts, graphs and images to appropriately display the information for presentations to stakeholders.
  • Works with and educate the POD quality leadership, the TIN and clinical practice leadership to present statistical and operational reports of the metrics including analysis of progress towards goals and benchmarks.
  • Provides analytical support (consultation, design, analysis) to business units to understand and monitor performance as it relates to cost and quality.
  • Interfaces directly with customers and management to negotiate requirements (understand customer needs and provide consultation on options to best meet that need) with customers to ensure optimal value and timely delivery.
  • Provides direction and/or consultation on analytical approach to peers and customers. Uses business knowledge to anticipate business questions and needs and proactively identify and implement solutions. Identifies gaps in business reporting and proactively identifies and implements solutions.
  • Performs all aspects of actuarial informatics analysis including; data acquisition and data management, advanced SAS or SQL programming, advanced data visualization, quantitative and qualitative data analysis.
  • Creates written narrative summaries that compliment many of the key performance indicators and metrics, or analytics outlining trends of interest, opportunities for intervention or consideration, changes or shifts in data elements from one time period to another, etc.
  • Demonstrates knowledge in the relevance/importance of work and its impact on operations
  • Demonstrates initiative including recommending changes for improvement opportunities.
  • Independently evaluates and selects techniques, procedures
  • Interprets and synthesizes outcomes and conclusions
  • Participates in all required meetings, educational overview sessions, product implementation and review sessions as communicated by leadership
  • Communicates effectively within informal and formal channels, including written communications, presentations and informal communications with peers, management and business partners.
  • Acquires knowledge about DVACO and JHS\MLH Pods system and processes, as required to support population health reporting.
  • Interacts with co-workers, visitors, and other staff consistent with DVACO values.

Primary Customers or Key Working Relationships:
DVACO Leadership, DVACO, JHS and MLH Analytics Staff, DVACO Care Coordinators, DVACO Practice Transformation Team, DVACO Operations Team, DVACO and POD Clinical teams

QUALIFICATIONS:

Education:
BS required in Business, Mathematics, IT or data relevant field

Experience:

Minimum of 5 years related professional work experience in a progressive healthcare or insurance setting required. One year of experience may be granted for passage of at least one or more Society of Actuarial (SOA) exams or active in the Exam Program.

Technical Skills\Capabilities

  • Maintains proficiency and expertise in Health Plan data applications, state of the art business intelligence software and reporting tools that include, but are not limited to, MS SQL Server Components (Query Analyzer & coding, SSRS, Analysis Server, Stored Procedures, Jobs, and Functions), Business Objects (Tableau, Qlik, Crystal Reports, Crystal Enterprise, Crystal Analysis and OLAP), SAS, Microsoft Office (Word, Excel, PowerPoint, and Access) and grouper and predictive modeling software (3M and CGI) to prepare complex multi-factorial analysis. Synthesizes and Interprets analyses.
  • Must possess a comprehensive understanding of clinical or payer operational processes and ability to evaluate impacts on data compilation and reporting.
  • Knowledge of healthcare coding structures and payment methodologies.
  • Advanced programming in SAS, SQL Query Construction or other programming language.
  • Advanced understanding of relational database systems and uses.

Other Skills\Capabilities

  • Demonstrates strong mathematical, statistical, financial, technical, interpersonal, organizational, project management skills, and ability to maintain confidentiality.
  • Demonstrated strong business acumen.
  • Effective verbal and written communication and presentation skills appropriate for communication with both external clients and senior management.
  • Demonstrated evidence of independent analytical and problem solving skills.
  • Exceptional time management and organizational skills.
  • Ability to effectively handle numerous priorities simultaneously.
  • Demonstrated ability to identify problem areas and take initiative to identify and implement appropriate solutions, self-motivated

WORKING CONDITIONS:

Position requires the ability to manage multiple tasks in a fast moving environment.

Exposures:
Individual must take proper precautions as outlined in Hospital Safety Manual, Infection Control Policy and Fire and Emergency Manual.

Please apply to http://www.mainlinehealth.org/careers job id 45186. No agency calls please. Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing.

We are an equal opportunity employer.

Population Health Application Analyst III

JOB SUMMARY:

The Population Health Application Analyst III will be responsible for validating and interpreting data to support population health management analytical tools and applications. This position is seen as a subject matter expert and will lead DVACO governance committees and maintain ongoing relationships with vender management, DVACO leadership, POD (Jefferson and MLH) leadership, key third party staff, internal constituents and external customers at participating CIN organizations to gather information, share data and effectively move projects forward. Stays current with vender applications and manages upgrades and new releases across internal and external stakeholders. Provides guidance to less experienced analysts and proactively coaches and mentors others throughout the system.

ESSENTIAL ACCOUNTABILITIES:

  • Ability to serve department as a subject matter expert.
  • Works with Vice Presidents, Medical Directors, Clinical Operations, Finance, Network Contracting, IT and other POD departments or stakeholders.
  • Provides supervisory guidance to less experienced analysts.
  • Proactively coaches and mentors others throughout the system.
  • Fully responsible for interpreting, organizing, executing, coordinating, evaluating, and communicating complex projects under the guidelines of leadership
  • Demonstrates knowledge in the relevance/importance of work and its impact on operations
  • Participates in all required meetings, educational overview sessions, product implementation and review sessions as communicated by leadership
  • Communicates effectively within informal and formal channels, including written communications, presentations and informal communications with peers, management and business partners.
  • Interacts with co-workers, visitors, and other staff consistent with DVACO values.
  • Develops a deep understanding of the functionality of the population health applications to consult and strategize on complex issues and implement solutions
  • Accountable for all aspects of payer contracts integration and implementation; data acquisition and data management, advanced SAS or SQL programming, quantitative and qualitative data analysis.
  • Responsible for the coordination of interface between extractions from payer contract(s) from developing a deep understand of the patient attribution process to feed active member rosters, claims into population health application.
  • Coordinates population health application design, interfaces, and development in accordance with user workflows for DVACO, JHS\MLH PODs, Clinical Integrated Network (CIN) and independent practices.
  • Documents requirements and specifications for new/update application functionality/content
  • Evaluates vendor requirements and specifications, prepares test cases, perform user acceptance testing (UAT) and data validation related to new/update application functionality/content
  • Supports population health application users by documenting issues for the vendor, providing education to end user, and managing issues resolution
  • Provides analytical support (consultation, design, analysis) to business units to understand and monitor performance as it relates to cost and quality.
  • Interfaces directly with customers and management to negotiate requirements (understand customer needs and provide consultation on options to best meet that need) with customers to ensure optimal value and timely delivery.
  • Provides business knowledge and anticipate business questions and needs.
  • Identifies gaps in business reporting and proactively identifies and implements solutions.
  • Achieves and maintains certification status in assigned application(s) and working knowledge of other related applications.
  • Demonstrates initiative including recommending changes for improvement opportunities.
  • Acquires knowledge about DVACO and JHS\MLH Pods system and processes, as required to support population health reporting.

Primary Customers or Key Working Relationships:
DVACO Leadership; DVACO, Jefferson and MLH Analytics Staff; DVACO Care Coordinators; DVACO Practice Transformation Team; DVACO Operations Team; DVACO and POD Clinical and IT teams; vender contacts

QUALIFICATIONS:

Education:

BS required in Population Health, Health Care Informatics, IT or data relevant field
Experience:

Minimum of 5 years related professional work experience in a progressive healthcare setting required.
Technical Skills\Capabilities

  • Experience with electronic medical record (EMR) systems
  • Maintains proficiency and expertise in Health Plan data applications, business intelligence software and reporting tools that include, but are not limited to, MS SQL Server Components (Query Analyzer & coding, Analysis Server, Stored Procedures, Jobs, and Functions), Business Objects (Tableau, Qlik, Crystal Reports, Crystal Enterprise, Crystal Analysis), SAS, Microsoft Office (Word, Excel, PowerPoint, and Access) to prepare complex multi-factorial analysis. Synthesizes and Interprets analyses.
  • Must possess a comprehensive understanding of clinical or payer operational processes and ability to evaluate impacts on data compilation and reporting.
  • Knowledge of healthcare coding structures and payment methodologies.
  • Advanced programming in SAS, SQL Query Construction or other programming language.
  • Advanced understanding of relational database systems and uses.

Other Skills\Capabilities

  • Demonstrates strong mathematical, statistical, financial, technical, interpersonal, organizational, project management skills, and ability to maintain confidentiality.
  • Demonstrated strong business acumen.
  • Effective verbal and written communication and presentation skills appropriate for communication with both external clients and senior management.
  • Demonstrated evidence of independent analytical and problem solving skills.
  • Exceptional time management and organizational skills.
  • Ability to effectively handle numerous priorities simultaneously.
  • Demonstrated ability to identify problem areas and take initiative to identify and implement appropriate solutions, self-motivated

WORKING CONDITIONS:

Position requires the ability to manage multiple tasks in a fast moving environment.

Exposures:
Individual must take proper precautions as outlined in Hospital Safety Manual, Infection Control Policy and Fire and Emergency Manual.

Please apply to http://www.mainlinehealth.org/careers job id 45347. No agency calls please. Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing.

We are an equal opportunity employer.

Apply for a Position

DVACO employment benefits are administered through Main Line Health. If interested, please apply online with a current resume at http://www.mainlinehealth.org/careers

Applicants must certify that they have not used tobacco products or nicotine in any form in the 90-days prior to submitting an application to Main Line Health. This will be verified during pre-employment testing. We are an Equal Opportunity Employer.

Equal Employment Opportunity
It is the policy of the Delaware Valley ACO to provide Equal Employment Opportunity to all people in all aspects of employer/employee relations without discrimination because of race, color, religion, sex, national origin, ancestry, marital status, age, sexual orientation or disability; to select, develop and promote employees based on the individual’s, qualifications, experience, and job performance; to maintain a working environment free of all forms of discrimination, harassment, and intimidation.

Who is DVACO?

We are the area’s largest Accountable Care Organization, leading the way in health improvement by streamlining provider participation to enhance the quality and personalization of patient care. Learn More

Contact Info

Address
PO Box 356,
Villanova, PA 19085
Phone 610-225-6295
Toll Free Number 855-761-9345
TTY# 610-225-6275
Toll Free Number 855-761-9345
Compliance Line 610-225-6211
Email dvacomail@dvaco.org
Business Hours 9-5pm