Develops and implements plans to measure and report on system-wide health care delivery cost and utilization trends; collaborates with system experts in developing sound methodology for forecasting trends including participation on analytic team(s).
Participates in and serves as a subject matter expert in the development of process improvement initiatives which support business needs and enhance the performance of payer claims analysis, product development and the managed care contracting process. Gathers and exchanges information and provides guidance and problem resolution on complex, challenging and variable situations that demand deep analytical, interpretive and evaluative thinking.
Participates in defining project plans and goals; manages and/or leads small projects or portions of projects with focused impact. Performs business case ROI, conducts business workflow mapping and impact analysis, applies actions steps, provides routine status reports and keeps management apprised ensuring project plans and deliverables are met.
Plays a prominent role in the development and maintenance of standard Payer Strategy & Product Development databases, data definitions, reporting tools, policies and procedures.
Understands and builds analytic tools on the Payer Strategy & Product Development analytic platform. These tools will be used to manipulate large data sets, conduct system/data integrity and quality checks/audits, access applications and utilize relational database management or systems administration methods and practices.
Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
