Population Health Database Administrator

• The position serves as a data analyst for the Network providing operational support for key financial, data management and communication functions of the Network. This position is responsible for ensuring financial and payor data is accurately received, validated, reconciled, maintained, and reported to support month-end close, Network payouts, routine reporting, and other organizational needs. The position also supports the Network’s data infrastructure and communication processes by maintaining established workflows, coordinating data exchanges with external partners, supporting new data feed implementations, administering designated platforms, and managing key Network communication channels. Responsibilities
• Financial Operations & Reconciliation o Review, validate, and reconcile financial and performance data received from payers and other external partners, including membership files, payer incentive results, reconciliations, bank deposits, and other supporting financial information. o Develop and maintain standardized financial workflows, validation rules, and controls to ensure data accuracy prior to month-end close, provider or practice payouts, financial reporting, and integration into analytic or population health platforms. o Manage established financial data sources and controls, including membership files, checks-and-balances files, bank accounts, lockbox portals, and other financial support documentation. o Perform month-end close activities and prepare associated financial and performance reporting. o Manage Network payouts, including monthly care coordination payments, quarterly and annual incentive payments, and other approved ad hoc Network payments. o Provide analysis as required.
• Data Management & Integrity o Monitor expected payer and partner data deliveries and proactively follow up when required files or information are late, missing, or incomplete. o Maintain standardized processes for data formats, definitions, file structures, storage, and documentation across multiple internal and external data sources. o Perform routine and daily reporting activities, including FUM, FMC, FUI, inpatient admissions, emergency department admissions, and other reporting needs as assigned. o Securely transmit data to external partners in accordance with organizational security and data protection requirements, including files provided to Milliman or future vendors, WVHIN, and monthly CCLF file processing. o Support testing, validation, and implementation of new payer, vendor, and partner data feeds. o Serve as administrator for designated platforms used to maintain Network membership, data access, or user access, including platforms such as Availity and WVHIN. o Capture, document, and appropriately store relevant payer and partner information received through meetings, email communications, portals, and other sources. o Provide analysis as required. Knowledge, Skills & Abilities Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned. Education
• Bachelor's Degree Credentials Work

Days Status: Full Time Regular 1.0 Location: Northgate-400 Association Dr. Location of Job: US:WV:Charleston Talent Acquisition Specialist: Tamara B. Young tammy.young@vandaliahealth.org