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Business Performance Planner

Kapili Services, LLC

Orlando (FL)

Remote

USD 80,000 - 110,000

Full time

10 days ago

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Job summary

An established industry player is seeking a Business Performance Planner with a strong background in the Military Healthcare System. This role involves analyzing healthcare data, developing standards, and providing analytical support to enhance military healthcare operations. Candidates should possess expertise in SQL and SAS, along with a Master's degree or equivalent experience in healthcare or business administration. Join a dynamic team focused on delivering innovative solutions and improving healthcare delivery for military personnel. This position offers competitive salaries and a comprehensive benefits package, making it an exciting opportunity for the right individual.

Benefits

401K plan with company match
Medical insurance
Dental insurance
Disability insurance
Life insurance
Tuition reimbursement
Paid time off
11 paid holidays

Qualifications

  • Master's degree or equivalent experience in healthcare required.
  • Expertise in SQL/SAS and military healthcare systems essential.

Responsibilities

  • Analyze Military Healthcare System data to support decision-making.
  • Coordinate with DHA for program data integration and reporting.

Skills

SQL
SAS
Data Analysis
Healthcare Delivery Standards
Medical Coding
Data Mining
Business Case Analysis
Leadership
Analytical Communication

Education

Master's Degree in Healthcare or Business Administration
Equivalent 8 years of healthcare work experience

Tools

Microsoft Office
MHS Data Warehouses
MEPRS
DMHRSi

Job description

The Alaka`ina Foundation Family of Companies (FOCs) is looking for a Business Performance Planner with extensive background in the Military Healthcare System to support our government customer located in San Antonio, Texas, or Falls Church, Virginia, or Remote.

Successful candidates will have in-depth knowledge of the Military Healthcare data marts, experience developing healthcare delivery standards, and analyzing operations at both the headquarters and military treatment facility levels.

The Alaka`ina Foundation Family of Companies has partnered with the Defense Health Agency (DHA) to deliver world class, data-driven decision science analytics of military healthcare operations and the delivery of healthcare services worldwide. Alaka`ina and its partners will lead the way for DHA to expand its current analytical services to incorporate leading-edge technologies and advanced skills.

DESCRIPTION OF RESPONSIBILITIES:

  • Access, validate and analyze information about the MHS population by developing, validating, and linking various medical, safety, environmental, occupational and personnel databases.
  • Aggregate and analyze population health data to respond to questions from the various Congressional inquiries, DoD senior leaders, Service-specific Headquarters agencies, and the MTFs.
  • Coordinate and attend meetings for Service and Enterprise/Tri-Services groups and record/report/ communicate back to Government leadership items of discussion especially relevant to Analytics.
  • Collaborate with DHA and other applicable agencies to link program data with other health and personnel data to support a longitudinal database.
  • Conduct financial on Business Case Analysis (BCA) associated with government programs.
  • Conduct research and perform analysis (including development/use of predictive models for improving clinical operations and evaluating clinical currency, efficiency, and productivity) to support a variety of clinic practices initiatives focused on improvement of clinical operations.
  • Coordinate and arrange for program data transfer from DHA, MCSCs, MTFs, and other users of various programs.
  • Identify, troubleshoot, and conduct data import, analysis, and display errors from multiple data sources.
  • Provide analytical support regarding the integration, access, and development of data to support the documentation, comparative analysis, and outcomes analysis necessary to demonstrate the efficacy of clinical pathways designed and implemented in the MTFs.
  • Provide data analysis and decision support using research expertise as well as literature review/evidence-base to develop clinical and business measures and prototypes of health information technology (IT) tools, programs, procedures, services, or databases to support
    DHA's goal of building a managed healthcare system that considers and optimizes safety, quality, cost, and access.
  • Provide technical expertise in the areas of prevention, managed care, medical readiness issues, health promotion, clinical safety and quality, and other health Service-related issues in order to support the DHA's vision of becoming the healthiest and highest performing segment of the US.
  • Research, develop, analyze, monitor, and report annual Performance Plans.
  • Research, identify and apply, when available, national/standardized benchmarks and thresholds to DHA/MHS metrics as appropriate or the Contractor shall identify reasons why the established benchmarks/thresholds/methods are not appropriate/relevant.
  • Support the Government as the lead clinical and business information resource in the documentation, plan, design, build, implementation, and maintenance of clinical and business information systems for the DHA and its internal/external customers.
  • Other duties as assigned.

REQUIRED DEGREE/EDUCATION/CERTIFICATION:

Master's Degree in Healthcare or Business Administration, Economics, Accounting, Management, or eight (8) years of equivalent health care work experience.

REQUIRED SKILLS AND EXPERIENCE:

  • Demonstrated knowledge of CHCS and/or M2 file and MHS data table structures; Minimum of three (3) years experience data mining and conducting detailed analysis within the Military Health System (MHS) Data Warehouses.
  • Expert level skills in SQL or SAS.
  • Demonstrated knowledge of internal MTF processes related to the execution of health care, e.g., admissions/dispositions process, patient scheduling and appointing, financial reimbursements through Third Party Collections, and outpatient and inpatient throughput.
  • Demonstrated knowledge of medical coding practices and processes (ICD-9/10 and CPT/HCPS).
  • Five (5) years of technical experience in data presentation software and concepts associated with presentation of quantitative information.
  • Five (5) years demonstrated ability conducting thorough and comprehensive system-wide business case and return on investment (ROI) analysis for healthcare operations within the DHA, MHS, Veterans Administration (VA) or private sector.
  • Five (5) years of experience in communicating and writing complex concepts and their effects/impacts on the target environment, such that a lay audience is capable of understanding.
  • Five (5) years of experience using MHS Medical Expense and Performance Reporting System (MEPRS) / Defense Medical Human Resources System Internet (DMHRSi), Manpower, Program Objective Memorandum (POM) processes, Finance, and Referral Management/Access to Care.
  • Five (5) years of experience with integration of performance planning goals to meet the objectives of the DHA.
  • Proven ability to identify and implement solutions to improve data quality (medical coding, MEPRS usage).
  • Three (3) years' experience working in a leadership role within Resource Management, Group Practice Management, or TRICARE Operations.
  • Ability to acquire skills/capabilities necessary to meet growing needs/demands of systems/software/hardware.
  • Ability to critically examine and evaluate, problem-solve.
  • Ability to deliver products on time, on schedule, within budget. Flexibility and ability to adapt to rapidly changing and often time-constrained environment.
  • Able to read, write, speak, and understand English.
  • Demonstrated ability to communicate analytical discoveries and appropriate recommendations/mitigation strategies effectively and clearly to all levels of customers including Senior DHA leadership.
  • Demonstrated ability to organize/participate/lead working groups to develop analytic products and byproducts or to develop/understand processes leading to effective optimization of analytic efforts.
  • Demonstrated ability to provide accurate and timely analytical products containing well-reasoned and cogent discussion points providing leadership with substantiated options or courses of action.
  • Demonstrated ability to undertake and complete multiple tasks with multiple deadlines simultaneously.
  • Demonstrated advanced proficiency in Microsoft Office products PLUS additional software/hardware skills and capabilities.
  • Proven ability to synthesize disparate data from multiple sources and coalesce into an accurate and useful analytic product, incorporating Service and MHS strategic goals for use by leadership in both tactical and strategic decision making.

DESIRED SKILLS AND EXPERIENCE:

Minimum of ten (10) years experience within the MHS

REQUIRED CITIZENSHIP AND CLEARANCE:

  • Must be a U.S. Citizen
  • Active Secret Clearance required

The Alaka`ina Foundation Family of Companies (FOCs) is a fast-growing government service provider. Employees enjoy competitive salaries. Eligible employees enjoy a 401K plan with company match; medical, dental, disability, and life insurance coverage; tuition reimbursement; paid time off; and 11 paid holidays.

We are an Equal Opportunity/Affirmative Action Employer of individuals with disabilities and veterans. We are proud to state that we do not illegally discriminate in employment decisions on the basis of any protected categories. If you are a person with a disability and you need an accommodation during the application process, please clickhereto request accommodation. We E-Verify all employees

"EOE, including Disability/Vets" OR "Equal Opportunity Employer, including Disability/Veterans"

The Alaka`ina Foundation Family of Companies (FOCs) is comprised of industry-recognized government service firms designated as Native Hawaiian Organization (NHO)-owned and 8(a) certified businesses. The Family of Companies (FOCs) includes Ke`aki Technologies, Laulima Government Solutions, Kpono Government Services, and Kapili Services, Po`okela Solutions, Kkaha Solutions, LLC, and Pololei Solutions, LLC. Alaka`ina Foundation activities principally benefit the youth of Hawaii through charitable efforts which includes providing innovative educational programs that combine leadership, science & technology, and environmental stewardship.

For additional information, please visit www.alakainafoundation.com

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