Clinical Operations Analyst

$67,396 - $95,004/Yr

Geha

posted 2 months ago

Full-time - Mid Level
Remote
Insurance Carriers and Related Activities

About the position

GEHA (Government Employees Health Association, Inc.) is a nonprofit member association dedicated to providing medical and dental benefits to over two million federal employees, retirees, military retirees, and their families. The organization is committed to diversity and inclusion, aiming to create an environment where all employees feel valued and empowered. The Clinical Operations Analyst plays a crucial role within GEHA, focusing on the analysis, development, and delivery of comprehensive clinical reports that provide actionable insights to senior leadership. This position requires a strong background in healthcare data analysis and a deep understanding of clinical operations, enabling the analyst to translate complex data into meaningful information that supports decision-making at the executive level. In this role, the Clinical Operations Analyst will be responsible for meeting the executive reporting and clinical-specific data reporting needs for clinical operations, particularly for the Chief Medical Officer (CMO) and all clinical departments within GEHA. The analyst will work cross-functionally with various clinical departments, including Clinical Quality, Population Health, Dental, Pharmacy, Medical Management, and Health & Well-being. Close collaboration with the Director of Operations and Transformation is essential to ensure that the needs of the Clinical Operations Division are met effectively. The position involves gathering, organizing, and analyzing clinical data from various sources within GEHA, developing comprehensive reports and presentations for senior leadership that provide insights into clinical operations, outcomes, and performance metrics. The analyst will evaluate clinical performance indicators, identify trends and areas for improvement, and collaborate with clinical teams to address operational challenges. Additionally, the role includes reviewing dashboards and metrics that offer real-time insights into clinical performance, developing key performance indicators (KPIs), and recommending strategies for process improvement based on data-driven insights and industry best practices. Clear documentation and effective presentation of findings to senior leadership are also key responsibilities of this position.

Responsibilities

  • Gather, organize, and analyze clinical data from various sources within GEHA.
  • Develop comprehensive reports and presentations for senior leadership, providing insights into clinical operations, outcomes, and performance metrics.
  • Evaluate clinical performance indicators, identifying trends, patterns, and areas for improvement.
  • Collaborate with clinical teams to understand operational challenges and opportunities for enhancement.
  • Review and assess dashboards and metrics that offer real-time insights into clinical performance and outcomes for the full clinical operations division.
  • Develop key performance indicators (KPIs) and benchmarks to track progress and support data-driven decision-making.
  • Work closely with Data & Analytics and other GEHA departments to ensure data integrity, standardization, and accuracy.
  • Collaborate with stakeholders to identify reporting requirements and implement solutions to meet their needs.
  • Identify areas for process improvement, efficiency, and quality enhancement within clinical operations.
  • Recommend strategies for optimization based on data-driven insights and industry best practices.
  • Prepare clear and concise documentation of methodologies, findings, and recommendations.
  • Deliver presentations to senior leadership, effectively communicating complex data in an understandable manner.

Requirements

  • Bachelor's degree in healthcare management, data science, statistics, or a related field.
  • Proven experience of 3+ years in healthcare data analysis and reporting within a clinical setting or healthcare environment.
  • Proficiency in data analysis tools and software (e.g., SQL, Tableau, Excel, etc.).
  • Strong understanding of healthcare operations, clinical workflows, and healthcare data systems.
  • Excellent communication and presentation skills, with the ability to translate complex data into actionable insights.
  • Meticulous, with strong problem-solving and critical-thinking abilities.

Nice-to-haves

  • Experience with healthcare data systems and reporting tools.
  • Familiarity with clinical performance assessment methodologies.
  • Knowledge of regulatory requirements in healthcare.

Benefits

  • 401(k) matching
  • AD&D insurance
  • Dental insurance
  • Disability insurance
  • Health insurance
  • Paid time off
  • Tuition Assistance Program
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