Job description

Job Description
Clinic Network

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.
TITLE: Clinical and Operations Analyst
JOB OVERVIEW: Research and assemble information and trends in clinical outcomes, population statistics and performance metrics for use in trending quality metrics, strategic planning and performance evaluation. Produce accurate and timely reports with detailed analysis identifying areas of deviation from normative data and making recommendations for continued review and interventions when appropriate. Work with Clinic Network leaders to create, monitor, analyze, and trend quality measures to improve health outcomes.

AREA OF ASSIGNMENT: Clinic Network & Clinic Locations as needed

HOURS OF WORK: Monday - Friday; hours may vary depending on department needs.

RESPONSIBLE TO: Director of Ambulatory Quality & Safety

PREREQUISITES:
Bachelor's degree, required. Preferably in Healthcare Administration, Information Technology, Business Informatics, or another closely related field.
Minimum of one year experience in health care settings, preferably in a clinic setting or health plan.
Knowledge and experience with Structured Query Language (SQL).
Demonstrated skills in statistical, operations and quality analysis.
Demonstrated ability to use and understand the ICD-9CM and CPT-4 coding methodologies.
Demonstrated ability to use and understand benchmarking and community reporting methods, such as HEDIS, MIPS, WA Health Alliance.
Strong communication skills, verbally and in writing, in English.
Knowledge and experience in Excel and Access.
Knowledge and experience in developing, tracking and reporting critical healthcare outcome measures.

QUALIFICATIONS:
Detail oriented person with strong analytical skills and writing skills.
Self-starter with initiative, self-directed and can work and seek information independently.
Demonstrated team-building and interpersonal skills.
Strong computer skills; familiarity with computers and information systems and software including databases, Tableau, Excel, Word, SQL and Access with programming in these applications preferred.
Ability to create performance reports targeting key network goals and initiatives.
Strong quality and operations skills are preferred.
Able to handle all situations in a positive, professional manner.
Ability to work under tight deadlines and competing priorities.
Ability to deliver periodic reports in a timely fashion and to meet required time frames.
Clear understanding of how to tailor information to meet the needs of multiple audiences (e.g. physicians, senior leaders, public relations, line staff).

UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT, AND WORKING CONDITIONS:
Physical requirements may include moderate lifting of files up to 20 pounds. Must be able to bend, stoop, lift, reach, push and pull. Involves sitting at a keyboard and/or workstation for long periods of time.

PERFORMANCE RESPONSIBILITIES:
Generic Job Functions: See Generic Job Description for Administrative Partner

Essential Responsibilities and Competencies:
Research and assemble information and trends in clinical outcomes, population statistics and performance metrics for use in committees, strategic planning, management performance reporting, and performance evaluations.
Produce accurate and timely reports with detailed analysis identifying areas of high cost and frequency, deviation from normative data and making recommendations for continued review and interventions when appropriate.
Retrieve data from relational databases (potentially from multiple information systems) to create reports utilizing analytical tools such as SQL, Excel, Tableau, and Access.
Assist with completing feasibility analyses for new products and services.
Maintain knowledge of MIPS, NQF, NCQA, WA Health Alliance, HEDIS and other quality and pay for performance metrics, and develop measurement systems to assess effectiveness of improvement strategies.
Maintain knowledge of clinical systems, including the Electronic Health Record.
Maintain knowledge of operational systems, such as the practice management system, telephone management system, and deployed registries.
Follow data governance processes for maintaining data accuracy.
Oversee the production of required data files for compensation systems.
Able to work closely with the Clinic and Network Leadership team, as well as other departments such as Information Technology, and Outcomes Management.
Maintains Clinic Network SharePoint site.
Performs all job functions in a manner consistent with Valley's cultural expectations defined as Valley Values. These characteristics include quality performance, demonstrating compassion, respect, teamwork, community-centered awareness and innovation.
Completes additional responsibilities and projects as assigned.

Revised: 11/19
Grade: 22, 24, 26
FLSA: E
CC: 8316

PREREQUISITES:
Bachelor's degree, required. Preferably in Healthcare Administration, Information Technology, Business Informatics, or another closely related field.
Minimum of one year experience in health care settings, preferably in a clinic setting or health plan.
Knowledge and experience with Structured Query Language (SQL).
Demonstrated skills in statistical, operations and quality analysis.
Demonstrated ability to use and understand the ICD-9CM and CPT-4 coding methodologies.
Demonstrated ability to use and understand benchmarking and community reporting methods, such as HEDIS, MIPS, WA Health Alliance.
Strong communication skills, verbally and in writing, in English.
Knowledge and experience in Excel and Access.
Knowledge and experience in developing, tracking and reporting critical healthcare outcome measures.

QUALIFICATIONS:
Detail oriented person with strong analytical skills and writing skills.
Self-starter with initiative, self-directed and can work and seek information independently.
Demonstrated team-building and interpersonal skills.
Strong computer skills; familiarity with computers and information systems and software including databases, Tableau, Excel, Word, SQL and Access with programming in these applications preferred.
Ability to create performance reports targeting key network goals and initiatives.
Strong quality and operations skills are preferred.
Able to handle all situations in a positive, professional manner.
Ability to work under tight deadlines and competing priorities.
Ability to deliver periodic reports in a timely fashion and to meet required time frames.
Clear understanding of how to tailor information to meet the needs of multiple audiences (e.g. physicians, senior leaders, public relations, line staff).

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