Note: The job is a remote job and is open to candidates in USA. Impact Health is hiring an Accounting and Quality Data Specialist to support clinical data analytics and quality practice transformation for its Impact Primary Care Network (IPCN). The role manages and analyzes accounting, clinical, and quality data, reconciles payments, and supports reporting and quality improvement across network practices.

Responsibilities

• Monitor, research, and reconcile Prepaid Health Plan (PHP) assignments and payments
• Assist with checks and balances of IPCN accounts receivable and invoicing
• Help create a consolidated remittance database of payments/accounts from PHPs to be reconciled against the monthly BA
• Assist with checks and balances of IPCN accounts receivable and invoicing
• Organize and summarize network member attribution and revenue by PHP and create report outs for IPCN Finance Committee and Board
• Match and monitor payments to sub-delegated practice with remittances from the Medicaid PHPs
• Use available network data to help practices analyze and identify trends, gaps, and opportunities for population health quality improvement
• Brainstorm new and improvements to existing practice workflows to improve Medicaid Beneficiary Assignment (BA) and quality
• Work to analyze network and individual practice performance to help inform payor Value-Based Program performance and future direction of network participation in shared risk and savings programs
• Help train network practices on Innovaccer data analytics and reporting Dashboards and act as a liaison for practice questions related to Innovaccer
• Monitor key performance indicators (KPIs) related to population health outcomes, healthcare utilization and cost drivers
• Assists with auditing Medicaid PHPs and other payor quality measure data to ensure it aligns with the clinical care provided
• Maintain strict confidentiality and security of patient and organizational data

Skills

• Bachelor's degree in finance, healthcare administration, data analytics, or other related field
• Proficiency in managing Excel worksheets and automating workflows with Excel and QuickBooks
• Basic understanding of NC Medicaid Managed Care transformation and related processes like Care Management, and Quality Management & Improvement
• Ability to access, aggregate, and manipulate data across multiple payor portals, SFTP, and Excel, including importing text files as needed
• Ability to understand and apply fundamental accounting conventions and procedures
• Familiar with the idea of Value-Based Care and the Alternative Payment Model (APM) Framework, like Pay-for-Performance and Shared Savings
• Understanding of the NCQA HEDIS Quality Measures and population health management in supporting data analysis and interpretation
• 3+ years of applicable experience preferred

Benefits

• For all full-time team members: 100% employer-paid insurance.
• For all full-time team members: 4 weeks of PTO.
• For all full-time team members: 10 paid holidays, plus 5 paid days of winter break.
• For all full-time team members: 6% match for 403B retirement plan.

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