Mercy Medical Center Clinton Medical Economics Data Operations Specialist in Livonia, Michigan

Department:

IN301_69068 Population Analytics

Expected Weekly Hours:

40

Shift:

Position Purpose:

Position Purpose

The Medical Economics (ME) Data Operations Specialist is responsible for providing specialized analytical and technical support for Trinity Health's Medical Economics department. Defines, designs and implements analytic-driven solutions and services to enable the analysis of data to support strategic initiatives and ongoing business requirements. Develops and manages analytic database and reporting components including utilizing various databases and database management and reporting tools to integrate data from multiple sources into a meaningful data structure aligned with business and clinical metrics and associated concepts, identify issues with source data and design and implement methods to remediate those issues, and utilize the resulting analytic data to derive metrics generate reports, perform advanced data analysis and draft system/process improvement recommendations. Assignments may require interfacing with and gathering information from and making presentations to people in various levels of management and to internal and external executive leaders. Serves as a subject matter expert and resource by providing guidance and problem/issue resolution to internal colleagues on matters impacting projects and day-to-day assignments.

Utilizes advanced analytical and technical skills to perform analysis and to contribute to and oversee design, configuration, implementation, and ongoing management of analytic databases, reports, extracts, models and reporting applications. The Medical Economics Data Operations Specialist plays a significant role in helping to define the business rules for transforming data. Work assignments are complex, requiring familiarity with health care and health insurance data structures and standards, and in-depth knowledge of methods for financial and clinical analysis, including analysis of cost and utilization trends. The position requires strong data manipulation, analytical, investigative, interpretive and evaluative skills along with the ability to contribute to and provide primary accountability for managing/leading large projects or portions of projects is expected.

Job Description Details:

Essential Functions and Responsibilities

Knows, understands, incorporates, and demonstrates the mission, vision, and values of Trinity Health in behaviors, practices, and decisions.

Develops methods, processes and tools to acquire, integrate, analyze, and export data. Plans processes, systems, policies, regulations and internal controls documents.

Utilizes claim valuation applications, integrated financial systems, relational database management systems, business intelligence and desktop analytical reporting tools to access and manipulate data and develop detailed standard and ad-hoc reports and summaries that support department projects and initiatives.

Translates non-technical requirements into technical business requirements.

Conducts system/data integrity and quality checks/audits and recommends remediation of data issues.

Participates and contributes to the design and development of custom integration as necessary

Conducts analysis, including clarifying the questions to be answered, conceptualizing and implementing the necessary metrics, designing and producing tables, charts and graphs, writing documentation and presentation materials regarding the question, methods, results and recommendations.

Participates in and serves as a subject matter expert in the development of process improvement initiatives that support business needs and enhance the performance of payer claims analysis, product development and the managed care contracting process.

Gathers and exchanges information and provides guidance and problem resolution on complex, challenging and variable situations that demand deep analytical, interpretive and evaluative thinking.

Manages and oversees large projects or portions of projects having a system wide focus, scope of responsibility and impact. Defines and manages project plans and goals; conducts business workflow mapping; impact analyses and modeling; applies action steps, develops status reports or communication plans and keeps management and key stakeholders apprised ensuring project plans and deliverables are met and in alignment with organization goals.

Plays a prominent role in the development and maintenance of standard Medical Economics databases, data definitions, reporting tools, policies and procedures.

Anticipates customer needs and proactively develops solutions to meet them.

Facilitates committee meetings with executive leaders, key stakeholders and decision makers by gathering/exchanging information, coordinating communications and making presentations.

Responsible for researching and compiling detailed information from multiple sources and preparing materials which may include the development of new policies, processes and opportunities.

Mentors, leads and helps train analysts, developers and power users. Manages and oversees team members’ work. Provides and monitors assignments of project team members,

Works with end users on specific questions regarding appropriate use of the Medical Economics and Claims Analytic tools and data.

Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Performs other duties as assigned.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Trinity Health offers rewarding careers in a community environment with all the advantages of working at one of the nation's largest health systems. We provide high-quality, people-centered care in 22 states through our network of hospitals, facilities, community-based services, and continuing care locations - including home care, hospice, Program of All Inclusive Care for the Elderly (PACE), and senior living facilities. If you are looking for a rewarding clinical or administrative position, you'll find exceptional career possibilities, opportunities for advancement and a job with meaning at Trinity Health.

Trinity Health employs more than 131,000 colleagues across 22 states. We honor and embrace a diverse representation of people, ideas and backgrounds. Our dedication to diversity is evident in our commitment to training, education, recruitment, retention and development, as well as community partnerships and supplier diversity.

Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences and health practices of the communities we serve and to apply that knowledge to produce positive outcomes. We recognize that each of us has a different way of thinking and perceiving our world, and that our differences not only serve to unite us, but also lead to innovative solutions.