Enterprise Solutions, Inc.
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USD
60
70
HOUR
true
Epic Business Intelligence Reporting and Analytics Developer/Analyst
santa clara, CA 95051 United States
Posted: 12/05/2024
2024-12-05
2025-02-19
Job Number: z5G7h3l6a1kMvyS65NP3c2Q0yp47TRNSaPJOceIM-Cs=
Pay Rate: 60-70 Hourly USD
Job Description
Epic Business Intelligence Reporting and Analytics Developer/Analyst
Resource will provide end-to-end delivery of reporting and analytics solutions in the Quality
Incentive Program (QIP) domain (“Domain”). Resource will: (1) assess, recommend, and
implement Performance Year 8 (PY8) QIP metrics assigned by the County; and (2) support and
maintain those metrics in preparation for PY8 audits.
The role requires consultant-level communication skills, the ability to coalesce related requests
and offer solutions that satisfy multiple requirements, and Software Development Life Cycle
discipline: gathering & documenting and confirming requirements gathering, designing
solution, obtaining SME signoff, coding, testing/validation, UAT, & documentation.
Typical Tasks:
Resource will assess and interpret assigned PY8 QIP performance metric
specifications with the SMEs.
Resource will recommend to the SMEs the specific assigned QIP performance metrics
that are achievable during PY8.
Resource will recommend pseudocode documentation to identify population
inclusion/exclusion logic and validate that logic with SMEs for PY8. Resource will prepare and implement the County approved pseudocode
documentation and validate the assigned PY8 QIP performance metrics.
Resource will peer test and unit test PY8 QIP performance metrics developed by the
County.
Resource will obtain the SME’s approval on PY8 QIP performance metrics.
Resource will provide data and other required Deliverables to support DHCS’s PY8
QIP audit request.
During the Term, Resource will collate source documents and prepare the
documentation for each solution and save in the County’s Software Development
Lifecycle repository for future reference by the County.
During the Term, Resource will prepare and provide County clinical and
administrative leadership as well as health care providers with year-to-date metric
performance reports, dashboards, and other analytics solutions to improve patient
care, maximize metric performance, and achieve the highest possible, lawful QIP
reimbursement from the State of California in PY8.
Required Skills & Abilities:
Excellent SQL skills and familiarity with all clinical and financial coding tables
Metric experience with pay-for-performance programs like QIP or HEDIS
Development of “playbooks” for standardized coding
Desired Skills & Abilities:
Experience with payor claims and eligibility data elements and structures
Infrastructural skills in designing, transforming and using data structures including
partitioning, data cleansing, to enable metric-related efficient queries. Balance between
data structure and query load.
Ability to interpret specs independently, revaluate pseudo code, and question decision
points as appropriate
Certifications
Supplemental program development experience
Resource will provide end-to-end delivery of reporting and analytics solutions in the Quality
Incentive Program (QIP) domain (“Domain”). Resource will: (1) assess, recommend, and
implement Performance Year 8 (PY8) QIP metrics assigned by the County; and (2) support and
maintain those metrics in preparation for PY8 audits.
The role requires consultant-level communication skills, the ability to coalesce related requests
and offer solutions that satisfy multiple requirements, and Software Development Life Cycle
discipline: gathering & documenting and confirming requirements gathering, designing
solution, obtaining SME signoff, coding, testing/validation, UAT, & documentation.
Typical Tasks:
Resource will assess and interpret assigned PY8 QIP performance metric
specifications with the SMEs.
Resource will recommend to the SMEs the specific assigned QIP performance metrics
that are achievable during PY8.
Resource will recommend pseudocode documentation to identify population
inclusion/exclusion logic and validate that logic with SMEs for PY8. Resource will prepare and implement the County approved pseudocode
documentation and validate the assigned PY8 QIP performance metrics.
Resource will peer test and unit test PY8 QIP performance metrics developed by the
County.
Resource will obtain the SME’s approval on PY8 QIP performance metrics.
Resource will provide data and other required Deliverables to support DHCS’s PY8
QIP audit request.
During the Term, Resource will collate source documents and prepare the
documentation for each solution and save in the County’s Software Development
Lifecycle repository for future reference by the County.
During the Term, Resource will prepare and provide County clinical and
administrative leadership as well as health care providers with year-to-date metric
performance reports, dashboards, and other analytics solutions to improve patient
care, maximize metric performance, and achieve the highest possible, lawful QIP
reimbursement from the State of California in PY8.
Required Skills & Abilities:
Excellent SQL skills and familiarity with all clinical and financial coding tables
Metric experience with pay-for-performance programs like QIP or HEDIS
Development of “playbooks” for standardized coding
Desired Skills & Abilities:
Experience with payor claims and eligibility data elements and structures
Infrastructural skills in designing, transforming and using data structures including
partitioning, data cleansing, to enable metric-related efficient queries. Balance between
data structure and query load.
Ability to interpret specs independently, revaluate pseudo code, and question decision
points as appropriate
Certifications
Supplemental program development experience
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