Clinical Operations Analyst

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GEHA Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1937

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

GEHA Health is a large benefits association dedicated to serving federal employees, retirees, and their families. Founded by postal workers in 1937, GEHA offers a comprehensive range of health and dental plans, including FEHB and PSHB options, as well as additional benefits such as gym memberships, vision benefits, and wellness rewards. With a network of 1. 7 million providers nationwide and extensive prescription drug coverage, GEHA prioritizes reinvesting profits to enhance member experiences and support federal workforce health. Their plans include Medicare Advantage options and a robust telehealth offering, ensuring their members receive the best possible care and coverage.

📋 Description

• Gather, organize, and analyze clinical data from various sources within G.E.H.A. • Develop comprehensive reports and presentations for senior leadership on clinical operations, outcomes, and performance metrics • Evaluate clinical performance indicators and identify trends, patterns, and improvement areas • Collaborate with clinical teams to understand operational challenges and opportunities for enhancement • Review and assess dashboards and metrics for real-time insights into clinical performance and outcomes across the clinical operations division • Develop KPIs and benchmarks to track progress and support data-driven decision-making • Work with Data & Analytics and other G.E.H.A. departments to ensure data integrity, standardization, and accuracy • Identify reporting requirements and implement solutions to meet stakeholder needs • Identify process improvement, efficiency, and quality enhancement opportunities within clinical operations • Recommend optimization strategies based on data-driven insights and industry best practices • Document methodologies, findings, and recommendations • Present complex data clearly to senior leadership • Cross-functionally support Clinical Quality, Population Health, Dental, Pharmacy, Medical Management, and Health & Well-being • Partner closely with the Director of Medical Management to support the Clinical Operations Division

🎯 Requirements

• Bachelor’s degree in healthcare management, data science, statistics, or a related field • 3+ years of experience in healthcare data analysis and reporting within a clinical setting or healthcare environment • Proficiency in data analysis tools and software, including SQL, Tableau, and Excel • Strong understanding of healthcare operations, clinical workflows, and healthcare data systems • Excellent communication and presentation skills • Ability to translate complex data into actionable insights • Meticulous, with strong problem-solving and critical-thinking abilities • Ability to provide non-cellular high-speed internet service such as fiber, DSL, or cable modem for a home office • Minimum internet speed of 30 Mbps download and 5 Mbps upload • Latency response time lower than 80 ms • Hotspots, satellite, and wireless internet service are not allowed • Dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Must reside in an eligible U.S. location; G.E.H.A. does not hire employees from U.S. territories or Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, or Maine

🏖️ Benefits

• Competitive pay/salary ranges • Incentive plan • Health/Vision/Dental benefits effective day one • 401(k) retirement plan with dollar-for-dollar company match up to 4% employee contribution, plus a 6% annual company contribution • Pretax or Roth 401(k) options • Robust employee well-being program • Paid Time Off • Personal Community Enrichment Time • Company-provided Basic Life and AD&D • Company-provided Short-Term & Long-Term Disability • Tuition Assistance Program • Professional development • Advancement opportunities • Benefits start on day one • Work-from-home option