Population Health Reporting Specialist

UMC Health System; Richmond (KY); On-site; USD 70,000 - 90,000; Full time

Job summary

UMC Health System in Kentucky is seeking a Population Health Reporting Analyst to develop and maintain financial, operational, and quality reporting tools supporting population health initiatives and value-based care. You will collect data from multiple sources, validate it, and build dashboards using Epic and Power BI, enabling performance monitoring and incentive tracking.

The role collaborates across departments to automate reporting, improve data quality, and produce regular performance

Qualifications

• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Accounting, Information Systems, Data Analytics, or a related field.
• Minimum of three (3) years of experience in data reporting, financial reporting, business analytics, healthcare operations, or a related field.
• Demonstrated experience developing, maintaining, and validating reports using Microsoft Excel and other reporting tools.
• Experience collecting, consolidating, and reconciling data from multiple sources to ensure accuracy and consistency.
• Experience working independently to manage recurring reporting responsibilities, deadlines, and data requests.

Responsibilities

• Develop, maintain, and enhance dashboards and reporting tools to monitor financial, operational, and quality performance, including Value-Based Care Accounting, Social Determinants of Health, Diabetes Education Programs, and other Population Health initiatives.
• Collaborate with internal departments and Information Technology to develop automated data collection processes and improve reporting efficiencies.
• Collect, consolidate, and validate data from multiple internal and external sources to ensure accurate, consistent, and timely performance reporting.
• Maintain the Population Health Dashboard by incorporating data from various departments and developing automated reporting solutions through Epic and other available systems.
• Coordinate the collection, review, and validation of quality measure data from hospital departments for reporting to HHSC, including TIPPS and CHIRP programs.
• Collaborate with Information Technology to develop and maintain reports that support ongoing quality measure tracking and monitoring of improvement progress.
• Develop and maintain a bi-weekly reporting process and dashboard to track performance on pay-for-performance quality measures.
• Prepare and distribute performance reports to operational teams, highlighting progress toward established goals and identifying measures requiring additional attention.
• Participate in discussions with operational teams to review performance results and support strategies for achieving quality measure targets.
• Develop and maintain monthly gaps-in-care worklists utilizing quality data and reports obtained from contracted health plans and payer reporting systems.
• Consolidate payer data and Care Coordination documentation to identify outstanding care opportunities and support patient outreach efforts.
• Maintain and update KPI reports and tracking tools to monitor quality performance and care gap closure.
• Participate in quarterly payer quality performance meetings to review reporting requirements, performance results, and improvement opportunities.
• Develop, maintain, and distribute clinic-level reports, including blood pressure control, transitional care management, collections, RVUs, and other operational and quality performance measures.
• Calculate and validate provider incentive payments under the Attestation Incentive Program, including annual, semiannual, or quarterly payment cycles as applicable.
• Coordinate with Accounting to facilitate accurate and timely provider incentive payments through checks or ACH transactions.
• Develop and maintain financial tracking reports for value-based care contracts, including potential incentive opportunities, projected earnings, actual earnings, and payment reconciliation.
• Maintain financial tracking, accounting documentation, and reporting processes associated with UMC Health Network, the organization’s clinically integrated network.
• Prepare financial performance summaries to support monitoring of value-based care reimbursement opportunities and program results.
• Ensure accuracy, consistency, completeness, and timely delivery of assigned financial, operational, and quality reports.
• Identify opportunities to standardize reporting processes, improve data reliability, reduce manual data collection, and enhance operational efficiencies.
• Collaborate with Accounting, Information Technology, hospital leadership, clinical operations, Care Coordination, and external partners to support reporting requirements and organizational objectives.
• Maintain organized records, supporting documentation, reporting methodologies, and established procedures.
• Perform other duties as assigned.

Skills

Excel

Data analysis

Reporting

Education

Bachelor's degree

Tools

Power BI

Epic reporting tools

Job description

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®.

The Population Health Reporting Analyst is responsible for developing, maintaining, and enhancing financial, operational, and quality reporting tools and dashboards to support population health initiatives, value-based care programs, and organizational performance monitoring. Collects, validates, and consolidates data from multiple internal and external sources to ensure accurate, timely, and meaningful reporting that supports clinical operations, quality improvement initiatives, and financial incentive tracking.

Reports to: VP, Supplemental Revenue Programs

Job Specific Responsibilities

Daily assignments may include but are not limited to:

Dashboard Development and Performance Monitoring

• Develop, maintain, and enhance dashboards and reporting tools to monitor financial, operational, and quality performance, including Value-Based Care Accounting, Social Determinants of Health, Diabetes Education Programs, and other Population Health initiatives.
• Collaborate with internal departments and Information Technology to develop automated data collection processes and improve reporting efficiencies.
• Collect, consolidate, and validate data from multiple internal and external sources to ensure accurate, consistent, and timely performance reporting.
• Maintain the Population Health Dashboard by incorporating data from various departments and developing automated reporting solutions through Epic and other available systems.

Quality Measure Reporting and Performance Monitoring

• Coordinate the collection, review, and validation of quality measure data from hospital departments for reporting to the Texas Health and Human Services Commission (HHSC), including TIPPS and CHIRP programs.
• Collaborate with Information Technology to develop and maintain reports that support ongoing quality measure tracking and monitoring of improvement progress.
• Develop and maintain a bi-weekly reporting process and dashboard to track performance on pay-for-performance quality measures.
• Prepare and distribute performance reports to operational teams, highlighting progress toward established goals and identifying measures requiring additional attention.
• Participate in discussions with operational teams to review performance results and support strategies for achieving quality measure targets.

Value-Based Care and Care Coordination Reporting

• Develop and maintain monthly gaps-in-care worklists utilizing quality data and reports obtained from contracted health plans and payer reporting systems.
• Consolidate payer data and Care Coordination documentation to identify outstanding care opportunities and support patient outreach efforts.
• Maintain and update key performance indicator (KPI) reports and tracking tools to monitor quality performance and care gap closure.
• Participate in quarterly payer quality performance meetings to review reporting requirements, performance results, and improvement opportunities.
• Develop, maintain, and distribute clinic-level reports, including blood pressure control, transitional care management, collections, relative value units (RVUs), and other operational and quality performance measures.

Provider Incentive and Value-Based Financial Reporting

• Calculate and validate provider incentive payments under the Attestation Incentive Program, including annual, semiannual, or quarterly payment cycles as applicable.
• Coordinate with Accounting to facilitate accurate and timely provider incentive payments through checks or ACH transactions.
• Develop and maintain financial tracking reports for value-based care contracts, including potential incentive opportunities, projected earnings, actual earnings, and payment reconciliation.
• Maintain financial tracking, accounting documentation, and reporting processes associated with UMC Health Network, the organization’s clinically integrated network.
• Prepare financial performance summaries to support monitoring of value-based care reimbursement opportunities and program results.

Data Integrity, Collaboration, and Process Improvement

• Ensure accuracy, consistency, completeness, and timely delivery of assigned financial, operational, and quality reports.
• Identify opportunities to standardize reporting processes, improve data reliability, reduce manual data collection, and enhance operational efficiencies.
• Collaborate with Accounting, Information Technology, hospital leadership, clinical operations, Care Coordination, and external partners to support reporting requirements and organizational objectives.
• Maintain organized records, supporting documentation, reporting methodologies, and established procedures.
• Perform other duties as assigned.

Education and Experience

Required:

• Bachelor’s degree in Business Administration, Healthcare Administration, Finance, Accounting, Information Systems, Data Analytics, or a related field; or an equivalent combination of education and relevant work experience.
• Minimum of three (3) years of experience in data reporting, financial reporting, business analytics, healthcare operations, or a related field.
• Demonstrated experience developing, maintaining, and validating reports using Microsoft Excel and other reporting tools.
• Experience collecting, consolidating, and reconciling data from multiple sources to ensure accuracy and consistency.
• Experience working independently to manage recurring reporting responsibilities, deadlines, and data requests.

Preference for:

• Experience in a healthcare organization, health plan, or population health environment.
• Familiarity with value-based care programs, healthcare quality measures, pay-for-performance initiatives, or gaps-in-care reporting.
• Experience developing dashboards using Power BI, Epic reporting tools, or similar business intelligence platforms.
• Experience working with financial incentive programs, provider reimbursement reporting, or performance-based payment tracking.

Knowledge, Skills, and Abilities

• Advanced proficiency in Microsoft Excel, including pivot tables, lookup functions, formulas, and data manipulation.
• Strong attention to detail and demonstrated ability to validate and reconcile complex data.
• Ability to organize, interpret, and present information in clear, meaningful reports and dashboards.
• Strong analytical, organizational, and problem-solving skills.
• Ability to work with multiple data sources and reporting formats.
• Ability to identify opportunities to improve reporting processes and increase efficiency through automation.
• Effective written and verbal communication skills.
• Ability to collaborate with clinical, operational, financial, and information technology teams.
• Ability to prioritize multiple assignments, meet established deadlines, and work independently with minimal supervision.
• Ability to maintain confidentiality and appropriately handle sensitive financial and patient information.

Interaction with Other Departments and Other Relationships

Interacts internally with Care Coordination, TeamChoice, UMC Health Plan, Information Technology and UMC Physicians (UMCP). Also interacts externally with Health plans and other providers.

Physical Capabilities

Occasionally exerts up to 25 lbs of force and/or frequently exerts a small amount of force to lift, carry, push, pull, and move objects. Work involves sitting most of the time, but may involve walking or standing for brief periods of time. This position requires frequent typing/keyboarding and some reaching in all directions. Must be available to work 8:00 am to 5:00 pm Monday through Friday plus after hours as needed. Be available by pager or cellphone as needed.

Environmental/Working Conditions

This position is subject to inside environmental conditions; protection from weather, but not necessarily temperature changes.

UMC Health Systemprovides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis ofrace, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

*Request for accommodations in the hire process should be directed to UMC Human Resources.*