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Operations Analyst in Knoxville, TN at TeamHealth

Date Posted: 2/7/2019

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

This position works directly with Quality Payment Program (QPP) Operations to define, implement, and execute processes and business requirements related to the Merit-Based Incentive Payment System (MIPS), in support of Registry Operations. Primary responsibilities include working with field leaders, management team, and staff members to coordinate and/or manage various operational initiatives, compile & analyze data, create reports & presentations, identify trends, and recommend strategies for various projects & operations across the team. The Operations Analyst needs to be able to understand the business challenges of the healthcare industry and the impact of the changing landscape of quality reporting to Centers for Medicare/Medicaid Services (CMS).

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Support Quality Payment Program Management, and staff members in the coordination and management of various operational activities related to program and/or National Healthcare Quality Institute (NHQI) Registry processes
  • Responsible for the development, implementation, and ongoing management of Data Validation and Audit processes necessary to support successful Registry reporting and submission of MIPS clinical data to CMS
  • Manage and Review Clinician documentation/patient records
  • Conduct detailed audit, data validation, and analysis of Clinician records to identify errors, problems, or issues, and provide recommendations for correction, using coding best practices
  • Identify coding trends across multiple service lines and escalate issues accordingly; help ensure that potential clinical educational opportunities may be identified and developed to help improve quality outcomes
  • Plan, execute, and monitor progress, as well as coordinate meetings and setup, for the various initiatives assigned
  • Prepare meeting agendas, materials, and minutes for multiple projects, as well as follows up on meeting action items
  • Organize documents, reports, and maintain version control
  • Work collaboratively with leaders and staff to research, diagnose, and develop recommendations to resolve organizational issues related to audits and reporting to enhance current and anticipated work processes as needed
  • Generate Registry action reports and monitor Registry KPIs
  • Work with program operational team to ensure proper use of data for MIPS reporting
  • Compile data from various sources; clean and format data into meaningful reports; update reports as needed
  • Analyze Registry or program operational metrics and identify issues/corrections necessary
  • Contribute ideas and opinions about strategic issues for consideration to QPP management by collecting and analyzing relevant data
  • Communicate proactively to analyze information needs
  • Utilize various data management, business intelligence, and reporting tools and models to assess operational performance of overall program performance
  • Prepare summary findings and report interpretations
  • Provide backup support to MIPS Support and Operational teams, which requires clinician and leader outreach to resolve MIPS inquires and issues
  • Display and communicates data in a clear and concise format
  • Perform other duties as assigned

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:     

  • Bachelor’s Degree in Business Administration, Communications, Finance, Healthcare Operations, or related field
  • Healthcare experience preferred
  • CPC / coding experience preferred
  • 3 – 5 years’ experience in corporate or operational reporting/data analysis; proven skill accomplishments preparing and communicating models, trend analysis, operational metrics, etc., and making recommendations for leadership
  • Advanced knowledge of Microsoft Excel
  • Intermediate to advanced computer proficiency in Microsoft Word and PowerPoint
  • Demonstrated success working in a team environment focused on meeting organizational goals and objectives
  • Excellent interpersonal, verbal and written communication skills and the ability to interact with a diverse group of team members, including executives, managers, clinicians, IT professionals, and subject matter experts
  • Strong organizational and analytical skills
  • Technical aptitude accompanied with basic understanding of data flow and processes to control data
  • Ability to quickly learn new concepts and technical skills
  • Ability to work under tight deadlines, prioritize work, and handle stress/conflict
  • Demonstrated ability to communicate effectively both orally and written; particularly the ability to explain complex data analyses in easy to understand terms
  • Excellent interpersonal and customer service skills, professional demeanor
  • Ability to work well with others, and work with minimal direction/supervision
  • Ability to work under tight deadlines, prioritize work, and handle stress/conflict
  • Resourcefulness, ingenuity, and problem-solving skills

Cooperative, positive, courteous, and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with coworkers, peers, and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor.

SUPERVISORY RESPONSIBILITIES:

  • None

PHYSICAL/ ENVIRONMENTAL DEMANDS:

  • Job performed in a well-lighted, modern office setting;
  • Occasional lifting/carrying (20 pounds or less);
  • Occasional standing/bending/stooping/reaching;
  • Moderate stress;
  • Prolonged sitting; and
  • Prolonged work in a computer/PC.

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

DISCLAIMER:

The information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.