Senior Population Health Insight Specialist (Fortify)

UVA Health; Virginia (MN); On-site; USD 68,000 - 136,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Paid Time Off

Long-term and Short-term Disability

Retirement Savings

Health Savings Plans

Certification and education support

Job summary

UVA Health seeks a Senior Population Health Insight Specialist to lead cost and utilization analyses of pediatric claims and integrate this analysis with EHR data, geographic data, and other signals to guide value-based care interventions and care management activities.

The role develops and maintains cost/utilization dashboards, analyzes prescription and pharmacy data, and evaluates intervention effectiveness. Strong SQL and analytics tools are essential.

Qualifications

• Master’s degree in Statistics, Public Health, Healthcare Administration, or related field.
• 3-5 years of experience in design, collection, analysis, interpretation and presentation of pediatric population health information.
• Experience with cost and utilization analysis of claims data.
• Experience with Electronic Health Record (EHR) data types and large EHR databases.
• Deep understanding of risk adjustment, quality reporting (HEDIS, STAR, ACO measures), and healthcare reimbursement models.
• Demonstrated ability to use statistical modeling to support decision making to improve quality or costs.
• Ability to translate detailed and complex data into understandable conclusions and solutions.
• Organizational skills to manage a large volume of work and shifting priorities.
• Proficiency with Power BI, Tableau, or Oracle Cloud Infrastructure and SQL with Python/R/SAS.

Responsibilities

• Collaborates with data engineering and IT teams to integrate and maintain population health data sources.
• Ensures data accuracy, completeness, and timeliness across systems.
• Translates complex data into clear insights, dashboards, and visuals for executives.
• Conducts cost, utilization, quality, and outcomes analysis to support value-based contracts and reimbursement.
• Develops predictive and risk stratification models for care management workflows.
• Serves as a subject matter expert for population health analytics across teams.
• Supports design, evaluation, and optimization of programs for chronic disease management and health equity.
• Analyzes care management workflows for quality and process improvement.
• Mentors junior analysts and contributes to best practices and knowledge sharing.

Skills

SQL

Python

R

SAS

Data modeling

Data visualization

Education

Master’s degree in Statistics, Public Health, Healthcare Administration, or related field

Bachelor’s degree

Tools

Power BI

Tableau

Oracle Cloud Infrastructure

Job description

The Senior Population Health Insight Specialist is adept at bringing together diverse data to predict trends and drive change in pediatric population health. This position is responsible for cost and utilization analysis of pediatric claims, and for integrating this analysis with electronic health record data, geographic data, and other signals in a predictive manner to determine optimal interventions in value-based care contracting, physician outreach, and care management activities. The day-to-day work involves development and maintenance of cost and utilization dashboards, training of others in their effective use, analysis of both prescription and pharmacy fill data, and trend analysis of EHR and health information exchange data to predict future utilization trends, as well as evaluation of the effectiveness of various interventions.

Essential Duties And Responsibilities

• Collaborates with data engineering and IT teams to integrate, and maintain population health data sources, including EHR data, claims data, and other external sources.
• Ensures high standards of data accuracy, completeness, and timeliness across multiple systems and platforms.
• Translates complex data into clear insights, recommendations, dashboards, and visualizations that inform executive decision-making.
• Conducts cost, utilization, quality, and outcomes analysis to support value-based contracts, quality improvement, and reimbursement initiatives.
• Develops predictive and risk stratification models to support care management workflows and population health strategies.
• Serve as a subject matter expert for population health analytics, supporting interdisciplinary teams including clinical quality, finance, and informatics
• Supports the design, evaluation, and optimization of programs focused on chronic disease management, preventive care, care coordination, and health equity.
• Analyzes care management workflows and program for quality and process improvement
• Mentors junior analysts and contributes to analytic best practices, documentation, and knowledge sharing.

Preferred Education & Experience

• Master’s degree in Statistics, Public Health, Healthcare Administration, or related field from an accredited college or university.
• 3 - 5 years of experience in design, collection, analysis, interpretation and presentation of pediatric population health information
• Experience with cost and utilization analysis of claims data
• Experience working with Electronic Health Record (EHR) data types and large EHR databases
• Deep understanding of and experience with risk adjustment, quality reporting (HEDIS, STAR, ACO measures), and healthcare reimbursement models.
• Demonstrated ability to use statistical modeling to support decision making as a means to improve quality, impact costs or determine financial impact of a proposal.
• Ability to translate detailed and complex data into understandable conclusions and offer valued solutions.
• Must have demonstrated organizational skills, the ability to manage a large volume of work, tight deadlines, and frequently shifting priorities.
• Proficiency with data visualization platforms such as Power BI, Tableau, or Oracle Cloud Infrastructure
• Strong proficiency with SQL and at least one analytics or statistical tool (e.g., Python, R, SAS).

Fortify Children's Health seeks a Senior Population Health Insight Specialist.

How does this role support patient care?

The Senior Population Health Insight Specialist is adept at bringing together diverse data to predict trends and drive change in pediatric population health. This position is responsible for cost and utilization analysis of pediatric claims, and for integrating this analysis with electronic health record data, geographic data, and other signals in a predictive manner to determine optimal interventions in value-based care contracting, physician outreach, and care management activities. The day-to-day work involves development and maintenance of cost and utilization dashboards, training of others in their effective use, analysis of both prescription and pharmacy fill data, and trend analysis of EHR and health information exchange data to predict future utilization trends, as well as evaluation of the effectiveness of various interventions.

Essential Duties And Responsibilities

• Collaborates with data engineering and IT teams to integrate, and maintain population health data sources, including EHR data, claims data, and other external sources.
• Ensures high standards of data accuracy, completeness, and timeliness across multiple systems and platforms.
• Translates complex data into clear insights, recommendations, dashboards, and visualizations that inform executive decision-making.
• Conducts cost, utilization, quality, and outcomes analysis to support value-based contracts, quality improvement, and reimbursement initiatives.
• Develops predictive and risk stratification models to support care management workflows and population health strategies.
• Serve as a subject matter expert for population health analytics, supporting interdisciplinary teams including clinical quality, finance, and informatics
• Supports the design, evaluation, and optimization of programs focused on chronic disease management, preventive care, care coordination, and health equity.
• Analyzes care management workflows and program for quality and process improvement
• Mentors junior analysts and contributes to analytic best practices, documentation, and knowledge sharing.

Preferred Education & Experience

• Master’s degree in Statistics, Public Health, Healthcare Administration, or related field from an accredited college or university.
• 3 - 5 years of experience in design, collection, analysis, interpretation and presentation of pediatric population health information
• Experience with cost and utilization analysis of claims data
• Experience working with Electronic Health Record (EHR) data types and large EHR databases
• Deep understanding of and experience with risk adjustment, quality reporting (HEDIS, STAR, ACO measures), and healthcare reimbursement models.
• Demonstrated ability to use statistical modeling to support decision making as a means to improve quality, impact costs or determine financial impact of a proposal.
• Ability to translate detailed and complex data into understandable conclusions and offer valued solutions.
• Must have demonstrated organizational skills, the ability to manage a large volume of work, tight deadlines, and frequently shifting priorities.
• Proficiency with data visualization platforms such as Power BI, Tableau, or Oracle Cloud Infrastructure
• Strong proficiency with SQL and at least one analytics or statistical tool (e.g., Python, R, SAS).

Minimum Requirements

Education: Bachelor’s degree required. Master's degree preferred.

Experience: 4 years relevant experience.

Licensure: None.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. Depending on department, this job may occasionally require traveling some distance to attend meetings, and programs.

The pay range for this role is $67,859.00 - $135,718.00 annually. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
• Paid Time Off, Long-term and Short-term Disability, Retirement Savings
• Health Saving Plans, and Flexible Spending Accounts
• Certification and education support
• Generous Paid Time Off

UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.