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About
Essential Job Function Analytics Development
Develop and maintain analytics products and solutions (datasets, reporting, dashboards) that are used to deliver insights to claims, clinical, and operational data to assess performance in value-based contracts including for monitoring key performance indicators (KPIs) such as total cost of care, quality measures, risk scores, utilization, and shared savings metrics.
Monitor and optimize the performance of data management processes and analytics products and solutions.
Ensure automation and alerting in performance monitoring.
Advanced Analytics Support
Develop and maintain analytics frameworks that support key value-based capabilities including member attribution, benchmarking, performance, stratification, and risk adjustment
Understand and leverage a variety of data sources as required, support data management and data pipeline automation in partnership with data engineering and services teams and third-party vendors including payors as needed.
Cross-Functional Collaboration
Work closely with value-based care analysts, analytics product managers, data science, and health economists to develop execute on user stories.
Partner with IT and data governance teams to ensure data quality, integrity, and compliance with applicable governance and organizational standards and policies
Education Required: Bachelor's Degree
Preferred: Master's Degree
Experience Required:
4 years of experience
Formal training or work experience in data analytics, data analysis, or data science.
Proven experience using data and analytics tools. Strong working experience using SQL and at least one analytics or visualization tool (PowerBI, Tableau, SigmaComputing, or other).
Experience working in a modern cloud environment (Snowflake and/or Databricks) and with modern data management tools
Experience working with healthcare data types including claims data, payor revenue/premium data, payor supplemental data, clinical data including clinical quality metrics (HEDIS) and risk adjustment (HCCs), social determinants of health (SDOH), and operational data and KPIs.
Knowledge of and experience with electronic health records (EHRs, such as Epic, Cerner, eCW, Allscripts, Athena) and population health management platforms (such as Epic's Value Based Care, Innovaccer, Arcadia, Lightbeam or other care management or population health platforms)
Understanding of clinical workflows and clinical operations as they relate to value-based care and population health
Genuine desire and curiosity to build analytics applications that wow users and reduce their burden in accessing and using data.
Deep commitment to continuous learning as part of a cross-functional team that includes clinical and non-clinical stakeholders.
Experience working within an agile delivery environment (DevOps)
Preferred Experience
Knowledge of and experience with healthcare claims data and related claims analytics tools (such as Milliman's MedInsight, MedeAnalytics, Tuva or claims analytics tools)
Licensure/Certification/Listing Required
Preferred
Job Industries
Other
Languages
- English
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