Clinical Business Analyst - Level II, Managed Care Administration

About NYC Health + Hospitals:

Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible

NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five boroughs. Our large health system consists of ambulatory centers, acute care centers, post-acute care/long-term care, rehabilitation programs, Home Care, and Correctional Health Services. Our diverse workforce is uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Job Description:

Summary of Duties & Responsibilities:

The Clinical Business Analyst will oversee data analytics to support departmental workflows to optimize Provider Enrollment and PCP panel alignment. The ideal candidate will demonstrate the ability concisely summarize data findings and propose concrete solutions to data challenges.

Able to mine various internal and external data sets to extract critical data elements that need to be tracked by the department.

Collates, cleanses, and organizes multiple data sets to identify data trends, data anomalies and conduct deep dive data analysis.

Compile critical data elements and analyze to summarize for various stakeholders.

Collaborate with stakeholders to identify data integrity gaps to correct and monitor data improvement outcomes.

Implement automated process provided by business owners to diagnose and resolve data gaps and create business reports.

Reviews data with stakeholders to recognize patterns, identify opportunities and support continuous process improvement efforts.

Collaborates on QA process of data outputs with business owner to ensure accuracy in data output.

Minimum Qualifications:

1. A Masters degree or advanced clinical degree from an accredited college or university and one (1) year of experience gathering and documenting business, clinical, and/or functional requirements using interviews, document analysis, workshops, surveys, site visits, business process descriptions, scenarios, business analysis, task and workflow analysis or related in a clinical, allied health, non-allied health, behavioral health, information technology, information services, business, analytics or related area; or, one (1) year of experience in a relevant clinical and/or healthcare administration role/function; or

2. A Baccalaureate degree from an accredited college or university and three (3) years of experience as described above; or

3. A satisfactory combination of education, training, and experience.

4. Specialty certification(s) issued by a national commercially available program, state, professional society, academic or technical institution in an area(s) listed above, may be credited on a month-to-month basis toward the required work experience for a total of one (1) year.

Department Preferences

Use analytical tools such as Tableau for data analysis and visualization

Experience with Business Analysis

Experience in other IT roles or functions such as quality assurance/testing, development, enterprise architecture, or project management

5+ years of work experience in data analysis and visualization

Experience working with healthcare data and helping business making better data driven decisions.

Proficiency P/LSQL coding

Preference in understanding additional programing languages such as Python

Knowledgeable in data analytics and operational procedures

NYC Health and Hospitals offers a competitive benefits package that includes:

Comprehensive Health Benefits for employees hired to work 20+ hrs. per week

Retirement Savings and Pension Plans

Loan Forgiveness Programs for eligible employees

Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts

College tuition discounts and professional development opportunities

Multiple employee discounts programs