Director Ambulatory Quality & Population Health Analytics

Description

Director of Ambulatory Quality and Population Health Analytics

Become part of an inclusive organization with over 40,000 teammates whose mission is to improve the health and well-being of the unique communities we serve.

Summary

The Director of Ambulatory Quality and Population Health Analytics leads analytics business enablement across UNC Health Alliance (UNCHA), UNC Health's Clinically Integrated Network and Population Health Services Organization. Working closely with UNCHA's Health Informatics Medical Director and the VP for Practice Quality and Innovation, this individual is responsible for developing advanced internal and external analytic tools that secure top-decile performance in value-based contracts.

Key responsibilities include identifying and promoting analytic standards, procedures, and technologies that improve the accuracy, validity, reliability, timeliness, relevance, and completeness of data critical to the effective, consistent operation and management of UNCHA Value Care contracts, Population Management, and UNC Health ambulatory services.

The director collaborates with senior-level staff accountable for daily operations, finance, payer contracts, and quality measures, leading a team of analysts responsible for predictive analytics, business area support, ambulatory organizational goals, and internal customer service. This individual collaborates with UNCHA senior executives in setting strategy and developing business plans, organizational portfolio priorities, and resource allocations necessary to simultaneously deliver current business commitments while developing new organizational capabilities.

The ideal candidate is expert in SQL, data warehouse structures, and Epic data sources, claims data sources, claims ingestion, and data transformation processes, while also possessing strategic thinking and excellent communication skills.

Responsibilities

Analytical Solutions

Establishes, leads, and manages a team of twenty analysts and integrates with teams of clinical and business staff from UNCHA and across the UNC Health system to drive consensus on data and analytical requirements. Ensures that resources are available to support assigned plans, activities, and initiatives and ensures alignment of quality improvement initiatives with value-based contracts through data analytics, reporting, and collaborating with entity and senior leaders in UNCHA and UNC Health.

Engages senior executives in strategy sessions and organizational development issues, including the escalation and resolution of operational inconsistencies that create barriers to accurate or complete analytics, operational reporting, and organizational decision making. Possesses extensive knowledge of clinical, governmental, external payer portals, and claims data sources with the ability to integrate these data sources into visually appealing and clinically useful dashboards, along with knowledge of patient privacy and security requirements necessary for executing dashboards in meaningful, yet secure, mechanisms. Possesses deep knowledge of data infrastructures underlying the Epic EHR and Epic VBPM.

Quality, Innovation, and Performance Improvement

Serves as the strategic leader to facilitate UNC Health Ambulatory quality data reporting across all UNC Health entities. Possesses deep knowledge of payer and other attribution strategies, HEDIS, and CMS measure specifications, including hospital measures in payer contracts. Establishes the reporting, delivery, and communication strategic framework necessary to achieve UNC Health, UNCHA, and entity goals for Improvement Collaborative across the domains of clinical quality, access to care, patient engagement, and patient satisfaction. Establishes and maintains the objectives and strategy for the department to contribute effectively and for executing the overarching UNCHA and UNC Health strategic plan.

Leading Change

Initiates and manages the change process, taking steps to remove barriers or accelerate its pace. Communicates a compelling vision, strategy, and need for change that generates excitement, enthusiasm, and commitment to the process. Clearly communicates the direction, required performance, and challenges of change to all involved parties. Identifies and enlists the support of key individuals and groups to move the change forward. Obtains and provides resources to implement change initiatives. Serves as a role model by demonstrating commitment to innovation and continuous improvement in organizational performance.

Leading People

This role involves leading a team towards the organization's vision, mission, and goals. It requires creating an inclusive environment that supports development, teamwork, and conflict resolution. The leader handles confidential information appropriately, focuses on improving team performance through clear expectations and accountability, and fosters a commitment to excellence.

Results Driven

The director is expected to exceed goals and customer expectations. This involves making high-quality decisions based on analysis and risk assessment, delivering excellent service with a focus on continuous improvement, and holding oneself and others accountable. The role also includes contributing to the organizational vision for analytics, identifying new opportunities, leading the budgeting process, and using cost-benefit analysis to inform priorities and strategy.

Financial Focus

Leading claims-based financial reporting models is key to maximizing performance in value-based contracts with CMS and commercial payers. The role requires providing actionable information to senior leadership and the clinically integrated network through multiple channels.

Other information:
Education Requirements:
* Position requires MHA, MPH, or MBA with health-related focus.
Licensure/Certification Requirements:
* None.
Professional Experience Requirements:
* If Master's Degree: Five (5) years of Business Intelligence or analytics related experience including a minimum of three (3) years of management experience
* If Bachelor's Degree: Seven (7) years of Business Intelligence or analytics related experience including a minimum of five (5) years of management experience.
* Prior experience overseeing the successful development and delivery of health-related analytics projects or products.
* Prior experience with large, complex organizational entities such as a multi-location health system environment preferred.
Knowledge/Skills/and Abilities Requirements:
* Demonstrated strength in integrating claims and clinical data and improving Value Care Performance.
* Knowledge of Epic & data warehouse structures, SQL, Tableau.
* Knowledge of how to apply analytical methods and data to health care problem spaces.
* Knowledge of product management practices and agile software development methods (e.g., Scrum).
* Know-how in developing technology related roadmaps to support emerging business needs within large, complex organizational environments.
* Skilled in initiating, developing, and managing multi-disciplinary teams in order to govern organizational consensus and decision making within competing perspectives and priorities.
* Skilled in engaging with internal or external customers to articulate business requirements and develop corresponding prioritized project plans and deliverables.
* Experience defining organizational strategies and analytic solutions.
* Demonstrated ability to work in ambiguous settings, to independently structure analysis and to drive to recommendations.
* Demonstrated ability to initiate projects, define project plans, and lead project teams.
* Demonstrated strength in understanding data sources, data integration software such as business objects and Tableau.

Legal Employer: NCHEALTH

Entity: Health Alliance

Organization Unit: Analytics and Collaboratives

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$58.92 - $84.70 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: US:NC:Morrisville

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.