The Clinical Value Analyst is responsible for monitoring, analyzing, distributing and communicating data from various sources in order to meet internal and regulatory reporting requirements and to inform and support organizational decision-making. Performs data analysis and facilitates the use of data in improving patient outcomes and high value care, identifying and sustaining improvement initiatives, and monitoring metrics that support organizational goals. Responsibilities include data abstraction, analysis, monitoring and submission as well as working with users across the organization to utilize data effectively. This position is critical to ensuring OHSU Health is a transformative, data-driven organization with an uncompromising focus on quality and outcomes.
Performs queries, benchmarking, and additional opportunity analysis on patient outcomes and resource utilization
Prepares and presents statistical reports, dashboards, and charts/graphs
Identifies and investigates data integrity and discrepancy concerns
Participates in data validation activities, ensuring reliable and accurate measurements
Supports use of data throughout the provider network and partners with system leaders and staff to identify areas of greatest opportunity and support value initiatives
Collects, enters, and reports data accurately using a variety of software programs, including reports due to external agencies such as Health Share, CMS or other payers
Ensures data submissions are accurate, timely and meet all required specifications
Prepares and presents progress reports to regulatory or other agencies as appropriate
Serves as a quality metric expert and stays abreast of regulatory reporting requirements
Ensure OHSU Health Plan Services programs meet all quality incentive metric targets and PIP requirements on a continual basis.
Performance improvement projects
Analyzes and monitors data trends related to quality, cost, outcomes and value to identify opportunities for performance improvement projects (PIPs).
Makes recommendations related to prioritization of PIPs
Develops and implements PIPs, in collaboration with other team members and key stakeholders, as needed in order to meet quality, cost, outcomes and value targets
Participates in statewide and CCO-wide PIPs and represents OHSU Health at relevant stakeholder groups.
Develops and regularly distributes reports to assist clinicians and staff in meeting OHSU Health performance targets related to quality, cost, outcomes and value
Develops and provides assistance in implementing workflows with providers and patient care teams in order to meet quality, cost, outcomes and value targets.
Develops and provides formal and informal education and training, including classes, workshops, manuals, handbooks and other educational materials
Participates in continuous education, including monthly coordinator calls, webinars, and other education opportunities; maintains expert knowledge and remains current in new trends and innovations
Develops and maintains collegial relationships with other UM/QI professionals by participating in quality and performance improvement activities and meetings as necessary for Health Share, CMS and delegated health plans.
Demonstrates excellent organizational skills and effectively manages multiple priorities and deadlines.
Effectively uses the PDSA Quality Improvement process
Other duties as assigned
Bachelors Degree in Healthcare, Business, Informatics, or related field; AND
Two years of healthcare experience required, including quality improvement, data analytics or performance improvement; OR
An equivalent combination of education, training and/or experience
Strong project management and analytical skills, with knowledge of electronic medical records, clinical data analysis and data mining capabilities
Knowledge of effective performance improvement strategies and techniques
Ability to organize and prioritize projects in order to maximize productivity and efficiencies
Effective oral and written communication and interpersonal skills with all levels of internal and external customers, including health care providers and managed care organization representative
Proficiency in Microsoft Office applications; strong proficiency in Excel
Self-motivated, self-driven, flexible person who can flourish in an office setting with colleagues as well as in a self-structured independent setting
Ability to process and handle confidential information with discretion
Ability to support multiple initiatives and balance priorities
Ability to adapt to change quickly and positively
Must be able to perform the essential functions of the position with or without accommodation
Three or more years of healthcare experience
Two or more years of healthcare data analyst experience
Proficiency in EPIC information system
Knowledge of ambulatory and acute care operations and workflows
Knowledge of the Oregon Health Authority, CMS, NCQA, and other regulatory agency standards
In-depth experience with systems and process improvement
Proficient in Tableau or other data visualization software.
Certified Professional in Healthcare Quality (CPHQ)
Registered Health Information Technician (RHIT)
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or firstname.lastname@example.org.
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and research. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide... many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm