Deloitte Clinical Quality Analytics SME in Rosslyn, Virginia
Clinical Quality Analytics SME
The goal of this work is to improve data transparency and reduce administrative burden on practitioners to use data to drive care delivery. Through data aggregation, participating practitioners will receive unified feedback reports with data from multiple payers, rather than through individual payer reports, allowing practitioners to see their patients' cost and utilization patterns in one actionable and easy to use tool
Work you ll do
Provide clinical insights for data access, collection, integration and dissemination processes
Provide clinical guidance to improve the usefulness and use of CPC reports at the practice, combined/group and CMS levels
Review quality checks on the Medicare data sent out to the aggregators
Review comparison analysis of the Data Aggregator reports with the Medicare-only reports generated to reveal insights and trends
Facilitate cross-region and region-specific aggregator meetings as needed, particularly around discussions related to quality measures, practice engagement and data use, and alignment
Our Health Technology team implements repeatable solutions to solve our government clients most critical health technology related issues. We advise on, design, implement and deploy solutions focused on government health agencies heart of the business issues including claims management, electronic health records, health information exchanges, health analytics and health case management.
Our clients seek a fresh perspective on how to leverage reusable, interoperable and flexible solutions that will enable them to reduce costs, improve health outcomes and respond to public health crises. Professionals will use their deep health, government and technology consulting experience to strategically help solve our client s technology challenges.
4 years in a Clinical background
Bachelor s degree
Experience working with and reviewing Medicare and other payer claims data
Experience working with alternate data types (e.g. EHR, HIE)
Clinical experience, especially in primary care and working with providers to implement performance improvement activities
Familiarity or certification in performance improvement methodologies, such as Lean Six Sigma
Experience reviewing of comparison, pattern tracking, and report utility analysis for primary care practices
Experience with stakeholder engagement and providing subject matter expertise in primary care transformation efforts
Medicare and Medicaid (MDS)
Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
How you ll grow
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there s always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. Explore Deloitte University, The Leadership Center. at https://zoomforth.com/s/deloitte/du#home
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Category: Management Consulting
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