Quality Data Payer Specialist - Rensselaer - Ft/Day

Employment Type:

Full time

Shift:

Day Shift

Description:

Quality Data Payer Specialist

• Rensselaer

• FT/DAY

Under the direction of the Director of Quality, coordinates and implements performance analysis and reporting for Senior Leadership, Clinicians and Administrators in support of Quality Improvement Initiatives. Specific focus on optimizing performance contract with multiple payers.

• Implements data collection and reporting strategies for evaluation of key quality performance initiatives, quality metrics, outcomes evaluation, etc. for quality improvement.

• Interfaces data from external facilities/organization for reporting purposes; develops and analyzes systems and support tools needed to obtain information or statistics vital to quality improvement efforts.

• Investigates data quality problems and reporting issues with recommended solutions

• Delivers reports and owns various Quality metrics dashboards/scoreboards.

• Manually and electronically provide EMR data in support of contractual and incentive programs.

• Collaborates with clinical and IT staff to support defined business requirements.

• Works with external Business Partners (i.e. Payers, ACO, CMS) to facilitate receipt and delivery of quality data.

• Analyzes data and prepares data trend reports.

• Identifies gap areas and coordinates follow-up activity.

• Maintains consistency and integrity of data collection and storage.

• Educate/Train Physician and staff on Quality Measure definition and workflow.

• Bachelor's Degree in Basic Sciences or related field or equivalent work experience.

• Minimum of five (5) years progressively responsible related work experience, including knowledge of payer operations and quality programs, research methods, basic statistics, business intelligence applications, and data analysis. Payer Experience and Ambulatory Quality Experience preferred

• Excellent analytical abilities and good problem-solving skills, required.

• Exceptional computer skills required, specifically reporting metrics

• Proficiency with Microsoft Office suite, including strong Excel skills.

• Strong verbal and written communication skills, required

• Clinical/Healthcare experience, preferred.

• EMR and Billing/Claims familiarity, preferred, EPIC familiarity a plus

• Detail oriented, excellent follow-up

• Ability to multi-task in a fast paced environment

• Must be service oriented, quick learner, team player

Pay Range:$22.40 - $35.84

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary e

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.