Landmark Health

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Business Analyst - Risk and Clinical Documentation (Remote)

Business Analyst - Risk and Clinical Documentation (Remote)

Job Locations 
US-CA-Huntington Beach
Category 
Operations
Type 
Regular Full-Time
Posted Date 
6/22/2018
Job ID 
2018-2074

More information about this job

Overview

Who We Are:

Landmark Health is a high growth, entrepreneurial organization committed to improving healthcare for patients with the most serious and complex medical needs in their homes, wherever they reside and whenever they need it.

Landmark is built upon the core belief that a physician-led, patient-centric, and contextually relevant intervention plan is the key to driving meaningful impact to patient care. Our clinical model is transformative – it represents a landmark in the evolution of our nation’s healthcare system.

Turning this vision into reality requires exceptional people who share our unwavering commitment to the patients we serve.

 

Do you want to make a difference?

 

Join us today!

 

Visit our website: www.landmarkhealth.org

Responsibilities

Position Overview:

 

**Position can be Remote or located at any of our regional offices.

 

In this key role, the Business Analyst, Risk & Clinical Documentation will be responsible for designing, implementing, maintaining and supporting policies, processes and systems related to Clinical Documentation including Medicare risk adjustment. In addition, you will provide data analytics, project management and reporting that will be instrumental in helping Landmark provide quality patient care to all patient members.

 

What you’ll be doing: 

  • Contribute to the success of national business objectives by providing and interpreting reports and analyses.
  • Develop and interpret SQL queries, for regular and ad hoc analyses.
  • Analyze Claims and Risk Adjustment data and build out Risk Models.
  • Reconcile internal data to Healthplan patients and medical records data.
  • Reconcile program invoices, and calculate ROIs.
  • Develop report specifications and create complex reports for management or communities using available reporting tools.
  • Project management of programs by working with vendors and communities to set up and manage projects to completion.
  • Monitor programs to ensure data flows through the system as expected.
  • Use, protect, and disclose Healthcare Provider (HCP) patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Gather information needed for compliance related activities.
  • Participate in quality assurance process for all new department related system/application/process changes.

Qualifications

What we’re looking for:   

  • Bachelor’s degree and/or equivalent work experience in a related field preferred.
  • Moderate to Advanced skill level in Microsoft SQL
  • 3+ years’ experience in a similar role.
  • 2+ years’ experience in healthcare industry and managed care preferred.
  • CMS-Risk Adjustment experience helpful.
  • Proven ability to track and manage all projects, as well as on-going activities within a project.
  • Familiarity with Business Intelligence Tools, such as Reporting Services and Analysis Services or similar tools is helpful.
  • Experience working with large data sets and a variety of sources.
  • Experience with SharePoint site development and maintenance is a plus.
  • Experience in data and ad hoc analysis.

 

What Makes this a Great Opportunity? 

  • Apply and stretch your data analysis, project and reporting expertise in a collaborative team environment with a company that is patient focused!
  • Unlimited career growth opportunity and a team that truly appreciates your efforts!
  • Highly Competitive Compensation Package!
  • Join a rapidly growing, financially stable company that delivers second to none patient care!
  • Great benefits package including 401k with company match, Medical, Dental, Vision, Generous Paid Time Off Plan!
  • Expense Reimbursement for Child and Elder Care, Education, Licensing and Credentialing!
  • Much More!

 

 

Landmark Health, LLC is an Equal Employment Opportunity/Affirmative Action employer.

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