Value Based Care - Medical Economics Analyst

3 days ago

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Miratech

Miratech helps visionaries to change the world. We are a global IT services and consulting company that brings together global enterprise innovation and start-up innovation. Today we support digital transformation for the largest enterprises on the planet.

Outsourcing β€’ Software Development β€’ Professional Services

501 - 1000 employees

Founded 1989

πŸ’° Private Equity Round on 2022-04

πŸ“‹ Description

β€’ Under minimal supervision gathers and analyzes clinical and financial data that assists with driving practice transformation, quality program compliance and improved patient care. β€’ Provides clinical data extraction expertise through analysis of population health data (clinical quality measures) extracted from practice EHR, payer data and patient experience data. β€’ Assists the clinical and quality improvement teams in identifying health care trends in health outcomes, utilization, population and disease management, and patient experience. β€’ Partners with end users to identify their reporting needs and solutions. β€’ Completes analysis, design, data testing, workflow validation and support services for assigned quality measure/payment programs. β€’ Serves as a liaison between population health platform, EMR and clinicians; prioritizes problems for effective and timely resolution, and develops/communicates resolution plan/approach and recommendations. β€’ Collects, analyzes, and acts upon claims, surveys, financial, EMR and other available data with respect to members and providers to effectively manage care, including the measurement of specific metrics and the impact of UM-QCN member and provider interventions. β€’ Exhibits mastery of reporting projects, data manipulation and analysis. β€’ Creates and maintains reports, queries, tables and downloads. β€’ Analyze trends and variances in detail over time and against national and local benchmarks. β€’ Design and implement report modifications to enhance accuracy and efficiency. β€’ Assist clinical care and quality improvement teams in understanding the nature and meaning of reports. β€’ Facilitating process change for accurate and reportable data entry including on-going monitoring for adherence to process. β€’ Provides data for patient outreach efforts at the practice level (i.e. providing lists of gaps in care and patients with uncontrolled disease for patient outreach).

🎯 Requirements

β€’ Bachelor's Degree in a health, science, or business field, or an equivalent level of professional experience required. β€’ Masters degree preferred. β€’ Two years progressively responsible experience in quality management, population health or outcomes management, is required. β€’ General knowledge of Quality Reporting programs (PQRS, MU, VBM, MIPS) is preferred. β€’ Understands quality improvement concepts and tools. β€’ Experienced in EHR data extraction, analysis and presentation to Primary Care Leadership and Staff is preferred. β€’ Experienced in data manipulation using a variety of tools such as excel, access etc. is required. β€’ Knowledge of practice transformation and the CMS Quality Payment Program, health care quality improvement concepts.

πŸ–οΈ Benefits

β€’ Review the 2024-2025 UMMS Benefits Guide β€’ All your information will be kept confidential according to EEO guidelines.

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