Highmark Health Senior Decision Support Analyst - HEDIS in Pittsburgh, Pennsylvania

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works closely with customers and design teams in prioritizing data and information requirements. The incumbent provides analysis in the development and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements into applications that employ appropriate decision support and reporting tools. Recommends innovative approaches to analytical investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure delivery of knowledge and information.

SENIOR DECISION SUPPORT ANALYST - HEDIS

Gateway Health is looking to build out its existing HEDIS organization and am effective team of senior Decision Support Analysts is critical to supporting that initiative. Our HEDIS Team is committed to helping the company achieve the best possible HEDIS scores that will help us understand and evaluate the quality of care being delivered to our members in some of the most common and acute illnesses.

ESSENTIAL RESPONSIBILITIES

  • Develop and foster internal relationships across the corporation.

  • Provide analytic and consultative support to a broad spectrum of internal customer areas and external business partners.

  • Mentor colleagues with less experience on both the technical and business aspects of project and consultative work.

  • Determine how decision support systems will provide information required to make effective business decisions, translates requirements into applications that employ appropriate decision support and reporting tools.

  • Use broad experience and technical knowledge to propose solutions to complex business problems.

  • Take the lead in driving the implementation of the recommended solutions.

  • Take the lead in defining issues and ideas to be studied as well as the approach (methodological and technical) to be used in addressing studies and projects.

  • Create and/or develop new methods of analysis, database design and performance measurement or, in some cases, adaptation of existing solutions to new areas.

  • Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop and implement policies and security frameworks to ensure precise and secure deliver of knowledge and information.

  • Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, identify follow-up action items and prepare or assist in the preparation of written reports and/or oral presentation of findings to internal and external audiences, customer managers, clinical staff, compliance agencies, group accounts, providers, agent plans, and brokers.

  • Develop and maintain moderate- to extremely-complex computer programs using 4GL programming languages (such as SAS, R, SQL) and other database technology (DB2, Teradata, and Oracle).

  • Other duties as assigned or requested.

EDUCATION

Required

  • Bachelor's Degree in or related to Computer/Information Science, Mathematics/Statistics, Economics, ,Industrial Engineering or Operations Research or related experience

Preferred

  • An advanced degree in or related to Computer/Information Science, Mathematics/Statistics, Economics, Industrial Engineering or Operations Research

EXPERIENCE

Required

  • 5 years of relevant, progressive experience as a Decision Support Analyst or equivalent training and experience in a business or clinical environment with direct responsibility for applying technology

Preferred

  • Understanding of the Health Care industry is valued and will help the selected candidate more effectively assimilate into the role.

  • HEDIS reporting

  • Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience in a business or clinical environment with direct responsibility for applying technology.

  • Experience using QSI software to help create and report metrics to the organization.

SKILLS

Knowledge, Skills and Abilities

  • Strong technical skills in PC and Internet-based technologies to be effective and must be comfortable and proficient using large and complex databases.

  • Strong skills using various third-party office and report generation products such as Microsoft Office, SAS/SQL and Tableau.

  • Strong communication skills. Must be comfortable presenting findings and offering recommendations to senior management.

Employee referral level: 2

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies


Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity ( http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org