The Healthcare Business Analyst I will utilize and evaluate claims, authorization, member and provider data to assist the manager of Analytics develop, track and monitor healthcare quality metrics, savings initiatives in revenue and cost and utilization trends and opportunities. Additionally, the Healthcare Business Analyst will:
Provide internal ad-hoc reports in a manner that is accurate, timely and consistent.
Utilize geographic information system tools (e.g. ArcGIS, Quest Analytics) to perform network adequacy and spatial analyses.
Create and maintain tabular models using SQL Server Analysis Services to facilitate enterprise reporting.
Perform statistical analyses to develop recommendations to business owners that improve workflows, processes, and compliance.
Utilize statistical models (CDPS, CMS Risk Adjustment, 3M) to identify trends in utilization and performance over time.
Review, analyze, and evaluate financial, medical, and member data to determine trends, issues, or opportunities for improvement.
Maintain compliance with the production of all State of Texas deliverables or other governing body in a timely manner.
Develop automated reports and schedule subscriptions using SQL Server Reporting Services and Microsoft Power BI.
Write queries, views, tables, stored procedures, and schedule jobs in SQL Server Management Studio based on user specifications using knowledge of healthcare coding (ICD, CPT, DRG).
Two years of experience developing actionable reporting using key metrics communicated in an easy to understand manner.
Two years of experience with reporting tools (e.g., MS Excel, Access, SQL Reporting Services, Power BI or similar tool).
Bachelor's degree in Computer Science, Healthcare Administration or related field.
Knowledge of healthcare coding, (ICD, CPT, DRG).
Internal Number: 152827
About Harris Health System
The Harris Health System is a fully integrated healthcare system that cares for all residents of Harris County, Texas. We are the first accredited healthcare institution in Harris County to be designated by the National Committee for Quality Assurance as a Patient-Centered Medical Home, and are one of the largest systems in the country to achieve the quality standard. Our system includes 23 community health centers, five school-based clinics, a dental center and dialysis center, mobile health units, a rehabilitation and specialty hospital and two full-service hospitals.Ben Taub Hospital is a world renowned Level I Trauma Center with 586 licensed acute-care beds and provides a wide range of specialty care outpatient services. Lyndon B. Johnson Hospital is a 328 licensed bed acute-care hospital with a newly expanded Level III trauma center and a distinguished regional center for neonatal intensive care for high-risk deliveries.Harris Health is a teaching system for Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth). We train the next generation of healthcare providers on the latest medical procedures and technological breakthroughs.With... our fully integrated electronic medical records system, we offer patients the convenience and assurance that their medical history is accurate, safe and available when and where it is needed. Our Medical Home designation ensures that we offer a full range of preventive, specialty and acute care services for the entire family.