Company :Allegheny Health NetworkJob Description : 

GENERAL OVERVIEW:

Responsible for translating data into actionable information (information is critical to improve processes and achieve outcomes encompassing quality, safety and financial initiatives) and providing decision support for clinicians and operations associates.

ESSENTIAL RESPONSIBILITIES:

Utilizes quality measurement concepts and techniques for assigned care areas and functions. (20%)Collaborates with clinical abstracting staff to maximize manual data collection resources. Collaborates with informatics programmer/analyst to maximize mining electronic data sources. Queries appropriate databases (e.g., Atlas) or obtain database reports from other databases (e.g., Case Mix, PLM, coding, patient safety). Uses risk-adjustment techniques for clinical outcomes, patient safety techniques such as root cause analysis and FMEA, etc. (20%)Applies knowledge of informatics philosophies and methods to deliver the right information to the right people at the right time to take the right action. This information maximizes Pay for Quality revenue, helps manage hospital costs and operations, and improves service delivery. This includes assisting programmers with report creation and distribution, mapping data for electronic information flow, etc. (20%)Analysis of information from internal and external benchmarking to determine key findings, patterns and trends. Determines need for drilldown information. Integrates comparative findings with internal results. Applies statistical analysis where indicated utilizing standard statistics software application (e.g. Minitab). (20%)Makes presentations and distributes information to teams and oversight committees. Determines best tools/methods for presenting information (tables, charts, narrative) based on best method to help customer take focused action. (20%)

QUALIFICATIONS:

Minimum

Bachelor's degree in health care related fieldBS degree must be obtained within 2 years of hire3 years of related experience

Preferred

Lean Six Sigma Certification

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

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