DATA ACTIVATION SPECIALIST - VALUE BASED CARE OPERATIONS AND TRANSFORMATION

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

Benefits

In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:

• Sign-on and Referral Bonuses for select positions
• Tuition Assistance up to $5,000
• Paid Time Off
• Long Term Sick accrual
• Employer Contribution Plan
• Free Short and Long-Term Disability for Full Time employees
• Zero copay for drugs on prescription plan for certain conditions
• College Bound 529 Savings Plan
• Life Insurance
• Beebe Perks via Work Advantage
• Employee Assistance Program
• Pet Insurance

Summary 

The Value-Based Care Analytics Specialist will oversee business and data analytics for Epic Payer Platform and Healthy Planet Value Based Care Analytics for Beebe Healthcare. Collaborating closely with the payor partners, IT and Business Intelligence, the VBC data Specialist will design and develop reporting dashboards that leverage multi-source payer and provider data to inform strategy, operations, and clinical initiatives. Reporting to the Vice President, Value based Operations & Transformation. The VBC Data Analytics Specialist will also be responsible for analyzing data in Epic to identify and/or evaluate interventions or program changes to improve patient quality, outcomes, and impact. This position is responsible for the accuracy, quality, and timeliness of data delivered in coordination with the organization's data governance and value-based contracts. Responsible for creating, maintaining, and optimizing the informatics architecture to ensure integration amongst payer systems and Epic data sources. 

Responsibilities

• Oversee payor portal management for business and data analysis and reporting for a payor-provider partnerships. 
• Responsible for accuracy, quality, and timeliness of data and analytics from payor portals. 
• Will work with other stakeholders to develop presentations of information for internal and external stakeholders to understand the current state of value-based care arrangements. 
• Ensures that monthly and quarterly data files from payers are distributed to key stakeholders. 
• Ensures compliance with corporate policies, HIPAA, ACO partnership, HEDIS measurement, and CMS regulations. 
• Defines and builds contract populations using Assignment and Attribution Loader in Epic (A&A), ensuring accurate assignment and attribution of members. 
• Loads and validates payer data through the Data Ingestion and Normalization Engine (DINE) and Payer Platform to maintain data integrity. 
• Sets up dashboards for payer contracts, aligning analytics and data reporting with contractual requirements. 
• Creates data visualizations using Radar Dashboards and Slicer Dicer to support informed decision-making. 
• Support Value-Based Care (VBC) gap closure by managing work queues and coordinating interventions. 
• Build registries to capture population-specific analytics, including external data, for Healthy Planet and Compass Rose initiatives. 
• Implement population risk stratification tools, such as predictive models, risk scores, and identification of SDOH domains. 
• Builds and customize value based analytic dashboards meet quality measures aligned with organizational and regulatory standards. 
• When needed, enhances the Epic Hyperspace experience through role records, ensuring users have access tailored to their roles. 
• Explores and builds task-based workflows to manage complex patient populations. 
• Distributes reporting tools to identify patients with care gaps and facilitate action opportunities through bulk orders and communication. 
• Provides data tools for social care and medication management to provide a holistic, person-centered approach to population health. 
• Incorporates external clinical and financial data into workflows to provide a more complete patient picture. 

Education & Experience

• Bachelor's degree or higher in Healthcare Administration, Business Administration, or Nursing degree. Master's level preferred
• 7- 10 years of work experience in business or data analytics, data management and analysis, or business intelligence in managed care or healthcare organizations in leu of degree, preferably supporting population management programs or value-based care initiatives.

Skills

• Ability to analyze data and then convey findings verbally and in writing in an effective manner.
• Skilled in healthcare payer data model, data governance, data quality, and data management to measure the impact of activity on key performance and quality metrics to optimize processes and forecast future outcomes.
• High-level proficiency in Microsoft Office and Office 365 MS Word, Excel, Outlook, PowerPoint, and Teams.
• Ability to quickly learn new software platforms and programs
• Ability to work with teams to identify and implement processes and workflows
• Experience using different EHRs and business analytics platforms.