Role Overview
Under the leadership of the Director, State Performance Outcomes, the Performance Outcomes Consultant is responsible for the analysis of performance measures to support clinical program evaluation. This role will manage the design and development of analytic modeling to support improvement through evidence-based population health management practices. This team will conduct advanced statistical analyses to identify and evaluate new approaches, methodologies and interventions utilizing sound statistical practices and the calculation of return on investment (ROI). Collaborates with the HEDIS Strategy & Analytics and Quality Management teams in evaluation with results in a manner that is accepted by a diverse group of stakeholders.
Work Arrangement
- Remote role
- Monday through Friday, from 8:00a EST to 5:00p EST
Responsibilities
- Support corporate, plan-level, and departmental strategies and goals by effectively applying both business knowledge and technical expertise to develop and implement data-driven solutions
- Planning and conducting health outcomes research and studies as well as publishing and presenting those data
- Extract and summarize data to develop predictive strategies for clinical program evaluation
- Conduct statistical analyses to compare performance amongst business segments
- Interprets and analyzes data to determine trends, identify potential causative factors and opportunities for improvement; incorporates analyses into routine monthly or ad hoc reports, using statistical tools/graphic models appropriate for data and intended audience, presents the information to various committee or performance improvement teams
- Calculate return on invest (ROI), support the quality management and HEDIS analytics teams in evaluating potential operational changes
- Assist with designing interventions and identifying barriers to improvement
- Communicate analytic solutions to stakeholders and implement improvements as needed to operational systems
- Collaborate across multiple corporate areas to understand workflows, document processes and ensure highest quality product delivery
- Work on a fast paced team, with minimal direction focusing on understanding the application/product/area in detail, while delivering high-quality outputs and actionable solutions
- Perform other duties as assigned by Management
Education and Experience
Skills & Abilities
- Strong working knowledge with data visualization and geographic data analysis tools such as Tableau and ArcGIS
- Advanced proficiency with data mining, mathematics, and statistical analysis
- Advanced proficiency with pattern recognition and predictive modeling experience
- Advanced organizational, technical, analytical, and written/oral communication skills
- Advanced technical writing skills in business requirements, queries, reports, and presentations
- Advanced technical skills in Excel, PowerPoint, Tableau and statistical analysis tools such as SAS EG, SAS Enterprise Miner or R with the ability to learn other analytic tools
- Advanced analytical and quantitative skills with experience collecting, organizing, mining, analyzing, visualizing and disseminating abundant information with the utmost accuracy and presentation
- Efficiently manages time-based on the continual evaluation of priorities, meets deadlines with high-quality deliverable reflecting complete understanding of expectations, able to multi-task
- Knowledge of relevant statistical analyses and methodologies include but are not limited to generalize linear regression, logistic regression analysis, repeated measure analysis, survival analysis, cluster analysis, time-series analysis, decision tree, neural networks, and other machine learning techniques
- Knowledge and skill in adapting analytical techniques and evaluation criteria to the measurement and improvement of organizational productivity
Knowledge of external public data such as data from CMS, census, CDC, AHRQ, etc. is a plus
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.