Covered California · 2 days ago

Health Informatics Specialist

Full-time

Onsite

Mid Level

$6,555/mo - $8,206/mo

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Responsibilities

Conduct critical quality assurance analyses on health plan submitted data integrating various sources including performance measure results from the Centers for Medicare and Medicaid Services, claims and encounter data from Covered California’s Healthcare Evidence Initiative, and demographic data from the California Healthcare Eligibility, Enrollment, and Retention System.

Develop standardized intake methodology and monitoring systems to support timely health plan data submissions that impact major health plan accountability programs.

Evaluate and provide recommendations and program strategies to improve data gathering and procedures to structure the data in efficient and usable formats.

Qualification

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Health InformaticsHealth Care EquityQuality ImprovementData AnalysisDocumentationData DictionaryPolicy AnalysisBusiness AnalysisHealth InsuranceData CompletenessAnalytical ProcessData ResolutionProfessional ExperienceAccomplishmentsPre-Employment Background InvestigationProblem-SolvingCommunicationAdaptabilityAttention to DetailData AnalyticsData ReportingData InvestigationDashboardsData VisualizationsPresentationsTime Management

Required

Possession of minimum qualifications will be verified prior to interview and/or appointment

A SOQ is required to apply. The SOQ will be used as a pre-interview screening tool. Applicants who do not follow the SOQ instructions and/or do not answer the prompt as stated below may not be considered. Your SOQ must be completed in Arial, 12 font and no more than two pages.

Please explain how your professional experience, accomplishments, and education have successfully prepared you for the Health Informatics Specialist role with Covered California. Include relevant experience with health care equity and quality improvement as well as working with health insurance plans.

Describe your experience with addressing data completeness issues and inconsistencies. Explain why this posed problems or challenges, and how you worked with the data to analyze and produce a meaningful resolution to address a particular policy or business question.

Describe your experience in documenting an analytical process, developing a data dictionary, or a similar task. What challenges did you face and how did you overcome them?

Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered.

Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply.

Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s).

Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting.

Resume is required and must be included.

Statement of Qualifications - Please attach your SOQ to your application. Applications received without a SOQ may not be considered. Resumes and cover letters will not be accepted in place of a SOQ. Please see above “Special Requirements” section for SOQ instructions.

Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview.

All applicants shall be subject to a pre-employment background investigation. The investigation will consist of completion of a pre-employment questionnaire, fingerprinting, and an inquiry to the Department of Justice and Federal Bureau of Investigation to disclose criminal records.