GBMC HealthCare, Inc. is a private, not-for-profit corporation that owns and operates Greater Baltimore Medical Center (GBMC), a regional community hospital in Towson, Maryland, two miles north of Baltimore City. GBMC HealthCare is comprised of GBMC, GBMC Health Partners, Greater Baltimore Health Alliance, the GBMC Foundation and Gilchrist. GBMC Health Partners is a collective of more than 300 primary care providers, specialists, advanced practice clinicians, and hundreds of support staff, all working together to care for our community. The GBMC Foundation coordinates fundraising for the healthcare network. Gilchrist is Maryland’s leading nonprofit provider of serious illness and end-of-life care.

The Mission of GBMC is to provide medical care and service of the highest quality to each patient and to educate the next generation of clinicians, leading to health, healing and hope for the community.

As our national healthcare system evolves, for GBMC to maintain its status as a provider of the highest quality medical care to our community, we must transform our philosophy and organizational structure, and develop a model system for delivering patient-centered care. We define patient-centered care as care that manages the patient's health effectively and efficiently while respecting the perspective and experience of the patient and the patient's family.

To every patient, every time, we will provide the care that we would want for our own loved ones!

Principal Duties and Responsibilities:

Works with claims data files and analytics tools to monitor aggregated and drilled down performance including risk adjusted efficiency and claims-based quality metrics

Works with the clinical and financial teams to identify trends and patterns in these complex data sets, draws conclusions, develops graphical and narrative summaries utilizing charts, graphs and images to appropriately display the information for presentation to stakeholders

Drives the design of financial and clinical outcomes reporting based on various sources including medical claims, disease registries, and electronic health records for population health activities, payer contracts, and GBMC employee health plan.

Analyzes large amounts of clinical data and turns key findings into strategic recommendations for specific clinical areas.

Design and develop reports, dashboards, scorecards, and other analytic results as necessary to support activities related to accountable care, managed care, and other GBHA goals.

Analyzes and generates reports on performance related to overall outcomes, utilization, risk adjusted total cost of care, population health, and care coordination.

Support the analysis of data from multiple sources, primarily claims files associated with value-based contracts.

Provide insight for informed decision-making and planning by identifying trends/patterns within complex data sets and visualizing and deploying the data to appropriately inform stakeholders.

Manage the technical related aspects of health analytics to support GBHA’s operational needs regarding data analysis and insight development.

Serves as subject matter expert to support the population health needs regarding claims data, value-based payer contracts, quality data and CRISP data.

Supports implementation initiatives for population health performance solutions.

Maintains current industry knowledge of healthcare financial, cost, reimbursement, market, regulatory and clinical trends, nationally and locally.

Education:

Bachelor’s degree required.

Master’s degree in Business, Health Administration, Finance or related field preferred.

Experience:

2+ years of experience required.

Experience in health administration, data analytics, or related field preferred.

Skills:

Data literacy (ability to read, write, and communicate data in context)

Conceptual analytical and quantitative skills.

Data collection, manipulation, and analysis skills.

Comfort with working in a self-driven, start-up environment.

Interest in and active pursuit of opportunities to learn and grow, and ability to handle multiple demands, shifting priorities, crises, and rapid change

Knowledge of management, business planning, finance, and healthcare.

Working knowledge of finance, accounting, financial models, healthcare data, market and competitive analysis techniques.

Skill in report testing, and supporting end users in report testing process

Able to manage multiple tasks in an uncertain and fast-paced environment

Excellent analytical and/or operational problem-solving skills; demonstrates ability to conduct and interpret quantitative/qualitative analyses and make recommendations for improvement/changes

Knowledge of health insurance claims structure and analytics, including GPRO/HEDIS Quality measures, risk adjustment methodologies, efficiency of care and utilization metrics.

Experience with large data sets, clinical quality measures, and claims analysis. Advanced skills in Excel and ease with data management (i.e. MS Access, SQL)

Skill in oral and written communication and time management with ability to effectively present to and facilitate groups