Senior Medical Economics Analyst

🕒 Agosto 14

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟠 Sênior

🧐 Analista

👻 Score fantasma 13%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Ennoble Care

SiteLinkedInTodas as Vagas

201 - 500 funcionários

🏥 Saúde

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

Healthcare • Healthcare Insurance • Non-profit

Ennoble Care, onde nossa missão é "Cuidar é uma Honra", é um serviço de cuidados primários, paliativos e de hospício baseado na comunidade que oferece cuidados a pacientes e famílias. Temos profissionais de saúde em Nova York, Nova Jérsei, Maryland, DC, Virgínia e Geórgia, licenciados e comprometidos em fornecer a você um atendimento excepcional.

Descrição

• Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC methodology • Analyze value-based care performance under CMS and CMMI total cost-of-care models • Monitor and forecast financial performance across assigned patient populations • Conduct claims analysis using CCLF and BCDA datasets, including simulating CMS-HCC risk adjustment • Process and analyze large healthcare datasets from EHR systems, Medicare claims, and multiple data sources • Ensure data quality and integrity across analytical processes • Create analytical reports translating complex actuarial findings into actionable business insights • Develop executive dashboards and performance metrics aligned with organizational goals • Present findings and recommendations to leadership teams and clinical stakeholders • Support budget planning and financial forecasting • Stay current with CMS and CMMI program requirements and quality measures • Collaborate with revenue cycle and coding teams to optimize documentation and billing accuracy

🎯 Requisitos

• Bachelor's degree in Data Science, Statistics, Mathematics, Economics, Business Administration, or related quantitative field • 3-5 years of data analytics experience, preferably in healthcare or Medicare-focused environments • Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models • Demonstrated experience working with CMS and CMMI total cost-of-care ACO programs • Proven track record analyzing Medicare claims data, specifically CCLF and BCDA datasets • In-depth knowledge of healthcare billing processes from both provider and CMS perspectives • Advanced proficiency in Microsoft Excel, including pivot tables and complex formulas; VBA preferred • Strong SQL skills, including writing complex queries and optimizing database performance • Experience with Microsoft Azure cloud platform and related analytics tools • Proven ability to work with very large datasets and combine data from multiple sources • Experience integrating EHR data with claims datasets for population health analysis • Exceptional analytical and problem-solving capabilities • Strong business acumen and ability to translate technical findings into strategic recommendations • Excellent written and verbal communication skills for technical and non-technical audiences • Collaborative approach to cross-functional projects • Ability to understand and respond to evolving business needs • Ability to work with sensitive healthcare information and maintain strict confidentiality in accordance with HIPAA and applicable regulations • Candidates must disclose any current or future need for employment-based immigration sponsorship before an offer is extended

🏖️ Benefícios

• Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity • Paid Time Off • Paid Office Holidays • Paid Sick Time • 401(k) with up to 3% company match • Referral Program • Payactiv: pay-on-demand. Cash out earned money when and where you need it!