Address
Form of workKey Duties and Responsibilities:
- Senior Healthcare Data Analyst will support leadership and Healthcare Informatics teams with insights gained from analyzing company and external data to help make smarter decisions and drive better outcomes.
- Develop and implement predictive models to forecast and optimize intervention targeting, coding accuracy, and other business outcomes.
- Select features, build, and optimize models using various algorithms and learning techniques.
- Utilize statistical and various learning techniques to support ACO initiatives.
- Work with stakeholders throughout the organization to identify opportunities for leveraging big data to drive business solutions.
- Mine and analyze data (both structured and unstructured data) from company databases and external data when needed to drive quality improvement, process optimization, and business strategies.
- Process, clean, and verify the integrity of data used for analyses.
- Do ad-hoc analyses and present results in a clear manner.
- Coordinate with different functional teams to implement models and monitor outcomes.
- Develop processes and tools to monitor and analyze model performance and data accuracy.
- Collaborate with other departments to drive financial and operational excellence across the organization.
- Research industry and regulatory trends in reimbursement, value-based care initiatives, and competitive landscape analyses
- Perform related duties like the above in scope and function as required.
Education and Experience:
- Minimum two years of prior healthcare or health plan or managed care experience is required.
- Medicare/Medicaid experience is preferred.
- Bachelor’s degree in Business Analytics, Statistics, or another quantitative field is required.
- 3+ years of experience handling data sets and various analytical models.
- MBA/MA (or current candidate), preferred.
- Minimum three to five years of financial analysis or comparable experience required.
Essential Skills and Abilities:
- Bachelor’s degree in Business Analytics, Statistics, Mathematics, Computer Science, or another quantitative field is required.
- Advanced knowledge of HCC Risk score modeling including Acute versus Chronic Disease Analytics.
- Proficient in Inpatient, Outpatient, Skilled Nursing, and Physician analytical models.
- Knowledge of Medicare HMO, ACO Reach, GPDC, or MSSP.
- 3+ years of experience handling data sets and building statistical and learning models.
- Proficient in data analysis tools and languages and data visualization tools.
- Profound understanding of Healthcare Data sources, including Electronic Health Records (EHRs), Claims Data (CCLF), and healthcare technologies (e.g., ICD10, CPT), and other sources from CMMI.
- Knowledge of statistical techniques and experience with applications.
- Excellent written and verbal communication skills for coordinating across teams.
- Experience with recommendation systems and algorithms, such as content-based filtering and collaborative filtering is preferred data analytics expertise with substantial applied experience in the managed care or healthcare industries.
- Proficiency in SQL or other programming languages; proficiency with PowerBI dashboards
- Excellent analytical, critical thinking, problem-solving skills, and attention to detail
- Detail-oriented, resourceful, and well organized
- Ability to convert complex financial, operational, and analytical issues into terms and concepts that are easily disseminated throughout all levels of the organization.
- Great composition, grammar, and verbal communication skills
- Strong organizational skills with the ability to prioritize workload and successfully manage multiple tasks and deadlines, a self-starter.
- Resilience to working successfully under pressure.
- Thrive in an unstructured, start-up environment.
- A referenceable track record of substantial financial management and data analytics experience, including financial operations, strategic and financial planning, data-driven decision-making, and capital financing in a complex environment.
- Thorough understanding of and ability to anticipate opportunities in the managed care and healthcare industries, including regulations, competitive landscape, and industry trends.
- Excellent judgment in handling confidential and sensitive information.
- Establishing and maintaining cooperative working relationships with others
- Ability to work across locations and time zones.
Core Competencies
- Instills trust
- Curious
- Customer focus
- Manages ambiguity
- Collaborates
- Drives results
The anticipated base pay range for this position is $120,000 - $140,000. Individual pay is determined by job-related skills, experience, and relevant education or training.
To ensure the health and safety of our workforce while doing our part to protect those around us, CareConnectMD is requiring proof of full COVID vaccination for employees as a condition of employment, subject to legally recognized accommodations.
