Population Health/Claims Modeling Analyst I

Delaware Valley Accountable Care Organization (DVACO), located in Radnor, PA is currently hiring for a newly created position, Population Health/Claims Modeling Analyst I.

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.

Reporting to the VP Operations the Analyst, the Population Analyst I develops dashboards and reports for the DVACO, Jefferson Health System/Main Line Health partners (JHS/MLH PODs) and independent practices. They will produce analytics used to measure and quantify DVACO and associated business partners’ experience through reporting using CMS data and other internal/external data.

ESSENTIAL ACCOUNTABILITIES:

  • Develops cascading dashboards of quality metrics
  • Supports DVACO and JHS/MLH PODs leadership in developing transparent and valid distribution/funds flow models based upon performance outcomes.
  • Monitors the financial performance of existing third party arrangements to ensure compliance with agreed upon contractual terms and conditions and to track contract performance and outcomes.
  • Produces system-wide analytics and reporting that promotes and supports the adoption and successful execution of population health management.
  • Develops and implements the financial, clinical, and operational analytics and reporting required to support the DVACO, JHS\MLH PODs and other population health programs and payer pay for performance programs.
  • Executes analytic processes required to support population health at DVACO and JHS\MLH PODs 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.
  • 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.
  • Effectively collaborates with team peers, other Enterprise Analytics team members and partners throughout the business.
  • Participates in all required meetings, educational overview sessions, product implementation and review sessions as communicated by the Manager, Actuarial Informatics.

Education/Experience:

BS required in Business, Mathematics, IT or data relevant field including. Actuarial degree preferred.

  • Minimum of 1-2 years related professional work experience in a progressive healthcare setting required.

Technical Skills\Capabilities

  • Familiarity with reporting tools (Business Objects, etc.)
  • Strong computer skills (word processing, spreadsheets, statistical analysis, database, data mining tools such as SQL / SAS / SPSS )
  • Advanced programming in SAS, SQL Query Construction or other programming language
  • Understanding of relational database systems and uses.

Please apply to http://www.mainlinehealth.org/careers job id 43353. 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.