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SalaryAbout TailorCare
TailorCare is transforming the experience of specialty care. Our comprehensive care program takes a deeply personal, evidence-based approach to improving patient outcomes for joint, back, and muscle conditions. By combining a careful assessment of patients' symptoms, health histories, preferences, and goals with predictive data and latest evidence-based guidelines, we help patients choose—and navigate—the most effective treatment pathway for them, every step of the way.
TailorCare values the experiences and perspectives of individuals from all backgrounds. We are a highly collaborative, curious, and determined team passionate about scaling a high-growth start-up to improve the lives of those in pain. TailorCare is a remote-first company with hybrid offices in New York City and Nashville.
About the Role
TailorCare is looking for a Senior Analyst of Medical Economics to join our Actuarial/MedEcon team. You will play an integral role in the evaluation and enhancement of TailorCare's MSK intervention strategies. You will partner with our clinical and operations teams to evaluate current performance and research new opportunities to positively impact the patients we serve. You will also partner with Finance team members to evaluate the financial performance of our value based care contracts. This is a high impact role at TailorCare with ample opportunity within a growing start-up.
Primary Responsibilities
- Partner with clinical, analytics, and finance leaders across the organization to develop, forecast, and track population health and care management programs
- Manage the development of ad-hoc reporting and monitoring processes for a variety of care model programs
- Use historical population level data to create and assess performance outcomes (costs and utilization) to identify areas of opportunity
- Interpret and analyze data from multiple sources including claims, provider, member, and encounters data to identify and assess the business impact of trends
- Develop and troubleshoot complex scripts and reports using SQL, Excel, or other analytics tools
- Produce monthly VBC financial reporting including IBNR estimates for finance
- Develop models to support various actuarial, population health, and financial analysis across enterprise
Qualifications
- 5 + years of experience working in an analytical role within the healthcare industry (preferably at Medicare risk bearing entity such as a health plan or Medicare ACO/Value Based Care entity)
- 5 + years of experience using SQL to analyze eligibility and medical claims data
- Experience with healthcare coding standards, including CPT, HCPCS, ICD10 Procedure, ICD10 Diagnostic, DRG, MS-DRG, APR-DRG, etc.
- Ability to build excel reporting models to summarize and present healthcare eligibility and claims costs data
- Good communication skills with comfort presenting to leadership
- Bachelor's degree in business analytics, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience
- Master's degree preferred
What's In It For You
- Meaningful work each day, we care deeply about our mission, our patients, and each-other.
- Work from anywhere in the US that best fits your lifestyle, or, for those that enjoy an in-person environment, join teammates in our hybrid hubs in NYC or Nashville.
- Rich PTO and holiday plans to ensure you have time away to rest and recharge
- We offer paid parental leave, support a healthy work-life integration, and offer work flexibility – we love to talk about our pets and families.
- Medical, dental, vision, life, disability, wellness resources, and an employer HSA contribution all from Day 1.
- We are committed to fair and equitable pay for all employees, and we help you achieve your future goals with an employer match 401k.
- An inclusive workplace where you can lean on your teammates, offer candid feedback, and bring your true self to work each day.
TailorCare seeks to recruit and retain staff from diverse backgrounds and encourages qualified candidates to apply. TailorCare is an equal opportunity employer and does not discriminate on the basis of age, sex, gender identity/expression, sexual orientation, color, race, creed, national origin, ancestry, religion, marital status, political belief, physical or mental disability, pregnancy, military, or veteran status.
