Empanelment Analyst

About the role

The Empanelment Analyst supports the organization’s provider empanelment program by maintaining accurate patient-provider assignments, monitoring panel performance, and developing reports and dashboards to support operational decision-making.

Responsibilities

• Generate monthly panel reports and review PCP assignments
• Calculate continuity of care percentages for each provider; adjust for vacation coverage schedules and other factors
• Resolve unassigned patients by reviewing appointment history (and possibly the clinical record) to determine appropriate assignment
• Monitor influx of new patients into provider panels and analyze provider capacity to absorb new patients; review issues with VP of Health Services and Chief Health Officer and reassign as appropriate
• Assess panel size against “right size” and discuss any needed adjustments with the VP of Health Services and the Chief Health Officer and/or the medical management team
• Track patient status changes including death, transfer to other care, and make needed changes in the practice management system
• Review transfer of care requests, including: Patient-initiated PCP change requests; facilitate discussion between and obtain approval from current assigned PCP and future PCP; make the change in the practice management system
• Provider-initiated PCP change requests. facilitate discussion between current PCP and potential future PCP; obtain agreement of acceptance by the new PCP; make the change in the practice management system
• Track provider status changes (transfer, termination, sabbatical, medical leave, etc.) and: Evaluate impact on assigned panel of patients
• Reassign panel to other clinic providers according to panel capacity
• Notify affected patients of new PCP assignment
• Collaborate with clinic managers, providers and care teams in the implementation and ongoing maintenance of the provider empanelment process
• Assist in the development of workflows and protocols to maximize outcome reporting
• Owns the panel reporting process, including data cleanup, provider alignment, and validation to ensure accuracy and integrity of empanelment data
• Develops dashboards and reporting tools to support panel management, empanelment, and risk stratification, utilizing systems such as Azara, EPIC OCHIN, and BI reporting tools
• Partners with IT and Population Health teams to optimize data sources and reporting workflows that support patient outreach, recall initiatives, and care gap closure
• Aid in the daily review of appointments to ensure patients are scheduled with PCP

Requirements

• Bachelor’s degree in healthcare, business, public health, analytics, or a related field; or equivalent combination of education and experience
• Two years of experience in healthcare operations, healthcare analytics, panel management, population health, or related field
• Intermediate advanced proficiency in Microsoft Excel
• Experience working with healthcare data, reports, and operational metrics
• Strong analytical, organizational, and problem-solving skills
• Ability to interpret data and communicate findings to operational and clinical stakeholders
• Experience with electronic health records and healthcare reporting systems

Preferred Background

• Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives
• Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all
• Demonstrated person-centered approach and familiarity with trauma informed systems and restorative practices

Pay

$73,513.24 - $92,972.62 per year