Job Summary:
WELLBE INTRODUCTION
The WellBe care model is a Physician Led Advanced Practice clinician driven geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically underserved and very challenged with access to care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe's physician/advanced practicing clinician led geriatric care teams’ partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum.
Job Description:
GENERAL SUMMARY
We are seeking a highly motivated and experienced Business Analyst with expertise in Health Information Exchange (HIE) to join our team. The ideal candidate will be responsible for the quality and completeness of our hospital census data. They will play a crucial role in supporting Transitional Care (hospital admission and discharge data, ADT Feeds, HIE integration and ongoing validation) processes including: data analytics to measure and improve post-discharge performance (completion of post-discharge visits following hospitalization and decreasing preventable readmissions), and participating in cross-functional initiatives including but not limited to transitional care, hospital admission prevention and ED diversion and value based care model execution. This position requires self-direction, time management, thorough communication, agility, and organizational excellence.
RESPONSIBILITIES
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Develop and maintain strong relationships with existing and new partners, serving as the primary business point of contact for communication and collaboration.
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Provide training and support on how to use the health information exchange platform effectively and securely.
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Track key performance indicators (KPIs) and metrics related to partner participation and data exchange activities, generating reports and analyzing data to assess partnership effectiveness.
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Strong understanding of healthcare industry regulations and standards, including HIPAA and data privacy requirements.
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Excellent communication, negotiation, and interpersonal skills, with the ability to effectively collaborate with internal and external stakeholders.
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Experience with project management and technical integration efforts in a healthcare or IT environment.
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Ability to analyze data and generate meaningful insights to drive decision-making and program improvement.
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Work with external partners (payors, HIEs) on Transitional Care/hospital census data integrity, completeness and contracts in collaboration with Business Development and IT.
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Conduct analysis and make recommendations of which hospital census data sources (ADT, HIE) to pursue when expanding into new markets.
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Work with key business stakeholders (Operations, Outreach, Clinical, Quality, IT, Business Development, Network Development) to meet Transitional Care/hospital census data needs and serve as the Transitional Care Data Subject Matter Expert
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Manage the quality and completeness of Transitional Care/hospital census data, identifying coverage gaps and proposing solutions
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Work with IT and EMR team to map out end-to-end logic on Transitional Care/hospital census data including updating existing alerts, filtering out alerts including duplicates, etc to look for opportunities for improvement
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Transitional Care/hospital census data analysis (admission/readmission/high utilizers, trends)
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Translate business requirements into specifications to design and implement the required Transitional Care/hospital census data reports and dashboards, created from potentially multiple data sources
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Review data to determine operational impacts and needed actions: elevate issues, trends, areas for improvement in Transitional Care Data/hospital census management
Job Requirements:
QUALIFICATIONS
Educational/Experience Requirements:
- Bachelor's degree in Healthcare Administration, Business Administration, Information Technology, or related field;
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3+ years experience as a business analyst in the healthcare industry, preferably in a hospital, healthcare system, or healthcare technology company.
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Certification in healthcare information management (e.g., CHIM, RHIA) or project management (e.g., PMP) is a plus.
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Strong analytical skills with the ability to gather, analyze, and interpret complex data sets.
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Excellent communication and interpersonal skills with the ability to effectively collaborate with diverse stakeholders.
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Solid understanding of healthcare operations, processes, and terminology.
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Proficiency in data analysis tools and techniques, as well as business analysis tools such as Microsoft Visio, Lucidchart, or similar software. Working knowledge of SQL/Excel a must.
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Knowledge of healthcare information systems such as Electronic Health Records (EHR), Health Information Exchange (HIE), and Healthcare Analytics platforms.
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Familiarity with healthcare regulations such as HIPAA, HITECH, and Meaningful Use.
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Project management experience and certification (e.g., PMP, CAPM) is a plus.
Required Skills and Abilities:
- Work closely with stakeholders to gather, analyze, and document business requirements for healthcare projects and initiatives.
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Analyze healthcare TOC data to identify trends, patterns, and insights that can drive business decisions and process improvements.
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Map out current healthcare workflows and processes to identify inefficiencies and areas for optimization.
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Collaborate with cross-functional teams to design and document TOC solutions that address business needs and comply with regulatory requirements.
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Provide training and support to end-users to ensure the successful adoption and utilization of new TOC solutions and processes.
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Assist in change management activities to minimize resistance and maximize the benefits of healthcare system implementations and upgrades.
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Create and maintain documentation including requirements documents, process flows, user manuals, and training materials.
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Facilitate communication and collaboration between business stakeholders, IT teams, vendors, and other relevant parties throughout the project lifecycle.
Supervisory Responsibility: No supervisory responsibilities.
Travel requirements: Travel may be required up to 10% locally or nationally
Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 50lbs.
- Ability to stand for extended periods
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Fine motor skills
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Visual acuity
The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.