Population Health BA

Consultant Technical Analyst - Population Health and Care Management

Job Summary:
o Must demonstrate strong domain expertise, particularly in the
Payor-Provider ecosystem, with a solid understanding of Medicare,
Medicaid, and other relevant healthcare programs
o Works with stakeholders to discover, clarify, and document current and
future data needs
o Performs mapping of Population Health and Care Management data to
a normalized data model.
o Serves as a subject matter expert on the Population health data
domains such as Care Management, Utilization Management, Quality
Scores, HEDIS, Care gaps
o Builds data concepts to support Population Health use cases
o Serves as a key resource for an assigned customer area to understand
and explain business and technical issues and to provide viable
technology solutions.
Responsibilities:

• Act as a quality consultant and subject matter expert, performing

testing and validation of the mapping of data elements to standards

• Collaborates with technical resources to perform root cause analysis

and complete remediation of data quality issues

• Works with customers to clarify and plan for their current and future

technology needs. Determines and maps existing business
processes/functions and recommends changes required to fit a tightly
integrated system.

• Designs and implements projects requiring systems integration, small

teams and multiple technical platforms.

• Conducts Return on Investment (ROI) and other financial analysis to

support project funding/prioritization.

• Collaborates on driving improvement activities to achieve department

and organizational goals.

• Coordinates with functional team to assure consistency and

optimization of overall work product

• Assumes a proactive role in driving improvement activities to achieve

department and organizational goals to deliver value.

• Maintains current knowledge of industry and business process trends

and is able to apply that knowledge to existing business processes.

• Provides subject-matter expertise of Health Ministry processes, policies

and requirements in support of functional area process design, testing
and implementation

• Identifies opportunities for process improvement and makes

recommendations that lead to improvements