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Clinical Data Analyst III

L.A. Care Health Plan

This is a Full-time position in Los Angeles, CA posted June 5, 2021.

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County’s vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Clinical Data Analyst III supports Healthcare Effectiveness Data and Information Set (HEDIS), quality and process improvement activities by producing healthcare outcome measurements that are used for internal and external reporting, the tasks including data quality assurance, process programming, specification documentation and report developing.

The Clinical Data Analyst III applies technical skills to design, develop, and generate HEDIS production and similar reports that may evolve into complex data analysis/data integration projects that this individual may be responsible for maintaining. The complex data analysis/integration projects are those which may require periodic maintenance on a weekly, monthly, quarterly, biannual, or annual basis. This position works with Information Systems analysts when ongoing reports can be accurately transferred for production. 

This position interprets and documents both written and verbal specifications. This position takes basic instructions or specifications and interviews with the client for complete details sufficient for writing data queries based for ad hoc and ongoing health care measures. This position must comprehend the relationships between the field elements in encounters and claims, membership, and provider databases. 
This position is a key resource to the Quality Performance Management (QPM) department on application use. This position supports the functions related to quality improvement activities inclusive of quarterly reports that demonstrate health care outcomes in comparison to targets or national averages/percentiles published by recognized organizations such as National Committee for Quality Assurance (NCQA) and Center for Disease Control (CDC).

Duties

Design, develop and maintain complex ongoing data projects. Design, develop, and generate ad hoc/production reports. Produce automatic, robust, timely and accurate results based on client specifications and as allowed by available resources. Produce complete documentation, QC reports and periodic results as scheduled. Identify and create work-around to generate valid results that meet the intent of the client’s specifications.

Investigate and document organizational data flow and sources. Provide thorough documentation regarding current 1) data sources 2) data flow 3) current process and procedures to code, group, QC, link and seed the data. Develop automatic, robust and sharable Statistical Analysis System (SAS) or Structured Query Language (SQL) procedures and programs towards building a comprehensive clinical data repository.

Develop analytical programs, databases, routine procedures using SAS or SQL programming language. Create work tools that facilitate tasks by reducing paperwork and errors. Document assumptions, specification in a clear and sharable fashion.

Educate/Tutor clients/junior staff on maintenance/usage of database/solutions designed. Educate/Tutor junior staff on data/business knowledge and technical skills.

Communicate with stakeholders/clients/collaborators regarding project details and plans.

Perform other duties as assigned. 

Education Required

Bachelor’s Degree

In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Master’s Degree in Public Health or Related Field

Experience

Required:
A minimum of 5 years of experience on reports/analyses in HEDIS or risk adjustment.

Skills

Required:
Must be able to apply and/or develop technical specifications for health care measures such as those used by National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. 

Must demonstrate advanced SAS skills in developing programs and procedures for analytics and quality assurance. Working knowledge of SAS Proc SQL, SAS Macro and database related SAS skills are highly preferred. 

Must be able to present data in a format that is appropriate for analysis. This includes the ability to determine select the correct information for calculating basic rates, table configuration, and graphical presentations. 

Must demonstrate an aptitude in learning and expanding abilities to use new applications with basic training.

Must be a self-starter and can multi-task and can take charge of assigned projects.

Must be able to make recommendations to the clients that demonstrate strengths and limitations of the organization’s ability to meet the request.

Licenses/Certifications Required

Licenses/Certifications Preferred

Statistical Analysis System (SAS) Certification

Required Training

Additional Information

This position is a limited duration positon. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits.

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.

Nearest Major Market: Los Angeles
Job Segment: Clinic, Medical, Claims, Public Health, Medicaid, Healthcare, Insurance