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Data Analyst, Int. (BHI)

Company: CalOptima
Location: Orange
Posted on: January 13, 2020

Job Description:

The Behavioral Health (BH) Data Analyst, Int. is responsible for tracking and reporting the utilization of Behavioral Health services in order to identify trends and patterns, and guide effective business practice. The incumbent identifies analytical requirements, develops and designs reports, creates and maintains databases, and develops Tableau dashboards to support the business requirements of the team, and continually improves data acquisition and reporting methods. The incumbent is responsible for developing internal systems to ensure routine, timely, and accurate submissions of behavioral health data to the Department of Health Care Services (DHCS) and other external entities. The incumbent is responsible for accessing, preparing and analyzing reports to monitor and improve clinical quality.

Position Responsibilities:

  • Perform data analyses on BH services utilization, performance outcome, and other topics pertinent to BHI operation.
  • Assist in the development and implementation of new initiatives/pilots; assist in designing new systems, creating processes, procedures and identifying opportunities for improvement.
  • Develop and maintain databases used by BHI staff.
  • Perform routine and ad hoc reporting for all lines of business including designing reports and managing data.
  • Provide analytical support and technical expertise on requests for information from Executives, Directors, and other staff regarding BH services.
  • Interface with outside entities and other departments within CalOptima to identify analytical requirements such as data exchange, BH reporting, and other BH related data projects.
  • Provide feedback to CalOptima's BH vendor(s) to resolve any data issues and support reporting requirements.
  • Maintain a thorough knowledge of DHCS and Centers for Medicare & Medicaid Services (CMS) BH data reporting requirements. Monitor and report on any changes that affect CalOptima and its BH vendor(s).
  • Seek out and adopt best practices in data reporting.
  • Other projects and duties as assigned.
    Required Skills
    • Initiate and follow-through on projects with little supervision or guidance.
    • Work independently as well as cooperatively and effectively on group projects, under minimal supervision and with multiple deadlines.
    • Develop and maintain effective working relationships with BHI staff, other departments (i.e. IS), and various external entities.
    • Present information in a useable format and be able to clearly explain content.
    • Strong proficiency in spreadsheets, word processing, presentation and database software programs (e.g. Tableau, Microsoft Excel, Word, PowerPoint, ACCESS); work with complex databases.
      Required Experience
      Experience & Education:
      • Bachelor's degree in Health Care Administration, Business Administration, Mathematics or other related field is strongly preferred.
      • 3 years as a Data Analyst that would provide the knowledge and abilities listed.
      • Experience with data reporting within a health insurance or behavioral health management environment.
        Knowledge of:
        • Tableau to design smart dashboards for business analytic.
        • Microsoft Access to create ad-hoc reports and design databases.
        • Microsoft Excel to manipulate data and produce charts/reports applicable to reporting requests.
        • Excellent organizational skills and the ability to prioritize tasks and use time efficiently.
        • Data quality assessment and analysis skills.
        • Strong oral and written communication skills.
        • Medical coding, including ICD9/ICD10, CPT, and HCPCS codes preferred.
        • Medicare/Medi-Cal guidelines, regulations and data reporting requirements helpful.
          Grade: L

          #CB

          Job Location Orange, California, United States
          Position Type Full-Time/Regular

Keywords: CalOptima, Orange , Data Analyst, Int. (BHI), Professions , Orange, California

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