Employment Opportunities
Health System Informatics Program Specialist
This position has been filled.
Public?:
Public
Division:
Health
Reports To:
EHR Department Head
Type of Position:
Regular Full Time
Location:
Little Axe Health Center / 15951 Little Axe Dr. / Norman, OK 73026
General Description
Provide leadership support with Population Health Management and value-based care transformation. Develops, selects and evaluates the appropriate selection of supporting data and analytics support infrastructure and associated population health analysis that enable the health system to drive improvements in quality and cost for its value based services.
Responsible for the transformation of Population Health data into actionable information and to assess the effectiveness for Payors in Population Health Services provided.
Measures the performance impact of value-based payment arrangements with Medicare, Medicaid, and other Payors.
Provide insights to improve the management of health care utilization and costs based on knowledge of population health and clinical outcomes. Measure and evaluate quality performance, provider practice patterns and variations, and create reporting trends and forecasting models.
Serves as a subject matter expert in current population health analytics and information technology tools, and maintains and disseminates trends and emerging thinking in the field of Population Health data analytics for the tribal health system.
Provides the analytics leadership to establish and maintain clinical and financial business intelligence infrastructure and processes to support Population Health metrics, objectives, and goals.
Develops and executes analytical and/or research activities to provide information and tools for strategic data, informatics and reporting needs related to population health and value-based metrics. Analyzes the health system’s data from multi-points of collection ranging from electronic medical records, contract health, surveys, I.H.S. data warehouse submission reports, and business systems to uncover more effective ways to deliver cost-effective care in a value-based pricing model. Examines data from system(s) to pinpoint better ways to get the crucial health information to key leadership and professional staff (doctors and other clinicians) relying on this evidence-based approach to more efficiently and effectively deliver patient care in a resource aware environment.
Audits the system’s clinical programs and policies to ensure that physician, patient and customer needs are effectively addressed and illustrated through relevant data.
Recommends short-term and long-term goals, policies and procedures to meet the health system's patient care objectives.
Responsible for the identification, location, repositing, assembling and tracking, reporting, and assessment/interpolation of health data; liaisons with Public Health Staff, IT, EHR, Grant Programs, and Professional Staff for program congruency. May present status and results of programmatic activities to health board.
Ensures conformance with applicable laws, regulations, and accreditation standards which include local, state, and federal laws governing patient data handing with HIPAA compliance and security. Liaisons with OSDH, OFMQ, Medicare/Medicaid, AAAHC Accreditation, I.H.S. Informatics Programs, Southern Plains Tribal Health Board (SPTHB), Tribal Epidemiology (TEC), and other appropriate entities for population health data points for study and guidance.
Will work under the supervision of the Clinical Applications Coordinator/EHR Department Director. Position primary location is the Little Axe Health Center, but is also responsible for health system health related programmatic data scope of activities/assessments.
Key competencies are knowledge of health system statistical care delivery modeling, research principles in data collection, clinical quality programs, epidemiology, population health assessment, and health system operations including experience within the hospital setting. Must have working knowledge of compliance with federal, state, and local health laws, regulations, and practices affecting
scope of work. Also, maintains crucial liaison with executive leadership, IT and EHR offices, grants programs, quality and professional staff to be successful. Evaluates reported information for appropriate business actions, grants activities, clinical quality or compliance action(s) by health system leadership and program managers.
Responsibilites
Responsible for ensuring data collection and assessment processes are conducted in accordance with guidelines and regulations with keen understanding of health system operations and reimbursement methodologies through the primary care setting through the hospital setting (known as the health care continuum). Develops, performs, executes, and reports, through graphic and statistical illustration, all health system data analytics collected for decision makers.
Ensures that all processes are in place and contributing to the performance of a high-quality clinical outcome(s) for the health system’s patient populations.
Have working knowledge of health care payment methodologies used by healthcare third party payors (i.e., APCs, DRGs, per diem payments, case rates, and bundled payments, non-traditional reimbursement models such as shared risk models and provider performance based incentive programs) to enhance revenue generating activities (internally/externally) within the health care continuum impacting purchased referred care, agreements, contracts, and specialty care support.
Troubleshoot clinical improvement activities once reported deficient or revealed by patient complaint or other methods evaluated.
Manage and maintain aggregated data for population health decision support.
Prepare and assist in preparing requested reports and population health trending reports.
Reports the effectiveness of levels of staffing ratios, systems, and production activities.
Evaluate quality events, incidents, queries, and complaints for actionable trends.
Keep up to date with all related health information legislation and population health issues.
Compile and prepare materials for submission to regulatory agencies; responsible for reporting to I.H.S. and other agencies on quality measures and clinical performance reporting.
Utilize health guidance documents, healthcare standards, or consensus standards and interpret for guidance; closely coordinates with health system leadership and legal on sanctioned collection efforts. Communicate any critical data/information risks noted from these activities to senior management.
Assists compliance officer, quality director, and leadership team in the preparation, conduct, and responses to regulatory agency requests for information and/or clinical inspection. Liaisons with legal and compliance where and when necessary. Keeps leadership apprised of all events/notifications.
Supports leadership and strategy in line with health system’s strategic objectives, goals, vision and values.
To be solution-oriented and work well in a high performance team environment.
Works with the organization’s leadership and staff to create policies and procedures that ensure benchmark setting patient care and minimize harm to the patient.
Recommends policy and procedure development, as appropriate to duties assigned.
Constantly performing follow-up evaluations of data and organizational performance to ensure consistent improvement with quality and compliance functions.
Oversee the organization's reporting of patient care benchmarks and measurements to federal and state authorities.
Training and educating the organization's staff to promote good clinical data practices throughout the health system. Assures activities complaint with all applicable federal and state laws and regulations.
Involved in working with others regarding patient satisfaction/complaint issues, tracking, reporting, and responding with the Patient Services Advocate.
Other duties as assigned.
Education, Qualifications & Requirements
Bachelor’s degree or equivalent in health sciences or related field desired; Master’s degree preferred.
Industry related/recognized certification in clinical quality (CPHQ) or related health field with nationally recognized professional society/organization is highly encouraged. Successful completion of Continuous Improvement Process (CIP) developmental training (such as “Greenbelt” certification) and sustain certification in highly recommended.
5 years or more experience in healthcare analytics or health data sciences is highly desired.
Knowledge of accrediting and regulatory agencies in regards to patient quality of care and patient rights, provider relations, and interplay between federal, state, and tribal entities.
High degree of independence, flexibility, initiative and commitment.
Must possess skills in computers, decision making, problem solving, communication, multitasking, analytical expertise, program management and confidentiality.
Demonstrated awareness and value of cultural competence.
Physical Requirements: Sedentary work; Computer usage, sitting, walking, bending/stooping, climbing stairs, kneeling/squatting, reaching, twisting.
Knowledge, Skills and Abilities
Ability to apply process methodology, manage high-visibility projects, and analyze findings.
Outstanding interpersonal skills, requisite poise, judgment and trustworthiness to work collaboratively with internal and external groups such as the executive management team, the Tribe's elected officials, the Tribe's citizens, and Federal and State officials.
Proven leadership and team building skills, creative thinking and problem solving skills.
Able to work independently; work under pressure with short-suspenses, and to deal with detail with a high degree of fidelity. Ability to perform and manage multiple activities and changing priorities in a fast-paced environment.
Excellent verbal and written communication skills; ability to present complex data to senior leadership for recommendation(s) to health board and elected tribal leadership.
Excellent problem solving skills including the problems inherent to a health clinic setting.
Computer literate and confident in statistical models regarding population health and programs designed/recommended from targeted studies/research of health system information systems.
Requires frequent communication with supervisor and other key staff.
Must possess a valid Oklahoma Driver’s License.
Must be able to pass a background check and drug screen.
Native American Preference/EOE/Drug Free Workplace.
Posted Date:
3 years 2 months ago