Health Care Data Liaison

The mission of the Center for Health Information and Analysis (CHIA) istomonitorthe Massachusetts health care system and to providereliable information and meaningful analysis for thoseseekingtoimprove health care quality, affordability, access, and outcomes.

This position performs data compliance review and analysis of data collected by CHIA from service providers within Massachusetts and payers for residents and employers of the state. This requires close interaction with a wide range of internal and external parties including technical staff, data analysts, billing/coding staff, business unit staff and various levels of management. Provides front line support on MA APCD and/or Case Mix Data Sets and other discharge/claim/cost level data, submission guidelines, definitions, data mappings and File Secure/CHIA Submissions usage.

Ensure that variance standards are maintained and work to obtain the highest percentage of data possible. This position requires the ability to be a subject matter expert of the CHIA data specifications, rules and edits and the ability to communicate this information to the carriers/providers. Performs troubleshooting of data issues and identifies resolutions to both technical and non-technical problems. Work closely with programmers and other staff on updates and enhancements to the data collected and the edits performed.

The Health Care Data Liaison will ensure the timely collection of payer and provider data/reports and recommend processes to improve project management efficiency. Under the direction of the Associate Director of Hospital Data Intake and Compliance, the Liaison will draft and edit memoranda, external communications, analytical reports and be involved in the development of new areas of data collecting and policy reporting for the agency.

At CHIA, we foster a flexible, collaborative environment, offering a hybrid model that balances in-person and remote work. Our hybrid model includes working from our vibrant Boston office at 501 Boylston Street for at least two designated days per week, with the flexibility to work remotely on others. Specifically, as the Health Care Data Liaison, you will have the opportunity to:

• Act as Liaison between the MA APCD and/or Case Mix submitters by providing front line support (telephone, email, teleconference and meetings) on MA APCD and/or Case Mix Data Sets and other discharge/claim/cost level data, definitions, data mappings and File Secure/CHIA Submissions usage.
• Work with assigned carriers/providers in the initial set up and development of submitting MA APCD and/or Case Mix test and production data.
• Work with assigned carriers/providers to receive, analyze and provide direction on Variance Requests to obtain the highest percentage of data possible and establish timelines for the carriers/providers to achieve threshold levels.
• Work directly with the data submissions by querying and reviewing files and reports to assist submitters in problem resolution.
• Assist carriers/providers in troubleshooting their submissions.
• Assist carriers/providers in resolving both technical and non-technical issues pertaining to the submission of MA APCD/Case Mix/Cost data, edits, errors received and data validation.
• Identify issues pertaining to a submission and discuss with carrier/provider, assist with remediation strategy, and timeline for correction.
• Work closely with stakeholders to understand their needs and uses, assist in monitoring whether the data submissions meet those requirements and standards.
• Work closely with other teams to identify and resolve issues.
• Work with assigned analysts, business units, sister agencies in identifying and resolving issues pertaining to a submission, across submissions and across filetypes.
• Work with analysts, business units, sister agencies to interface with data providers to resolve issues.
• Work with analysts, business units, sister agencies to assist in analysis and watch for defined outcomes.
• Work with data enhancement team and data release team to ensure quality and verification.
• Serve as subject matter expert for data collection, file layout, field contents.
• Assist with and maintain data documentation development and maintenance.
• Assist with workgroup preparation, participation and support.
• Assist reporting groups to understand the data.
• Work with internal and external agency stakeholders to provide liaison support, arrange meetings between submitters and data users and provide outreach on data questions.
• Educate the internal and external stakeholders on MA APCD and/or Case Mix data, submission formats and edits.
• Participate in ad hoc projects related to team and agency-wide initiatives; this may include data analyses and quality assurance.
• Consistently deliver high-quality services to internal and external stakeholders while continually seeking opportunities to increase customer satisfaction and deepen customer relationships.
• Perform submission level QA on the data and assist data analysts in cleaning, validation,…