Director of Data & Analytics

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🕒 Março 27

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RightMove Health

SiteLinkedInTodas as Vagas

11 - 50 funcionários

Fundada em 2022

🤝 B2B

👥 B2C

🧘 Bem-estar

B2B • B2C • Wellness

A RightMove Health é uma empresa de cuidados e coordenação de cuidados musculoesqueléticos liderada por especialistas que oferece avaliações rápidas, virtuais e presenciais, para dores nas costas, articulações e músculos. A empresa faz parceria com planos de saúde e líderes clínicos (incluindo o Hospital for Special Surgery) para oferecer planos de cuidado orientados por provedores, agendar e coordenar serviços e oferecer suporte aos membros sem custo para os inscritos. A RightMove combina expertise clínica com uma plataforma de tecnologia desenvolvida especificamente para otimizar encaminhamentos, imagens, fisioterapia e cuidados especializados, visando melhorar resultados e reduzir cirurgias desnecessárias.

Descrição

• Lead development and refinement of RightMove’s MSK condition and procedure data model, including cohort definitions, inclusion/exclusion logic, and episode construction. • Partner with engineering and data teams to support ingestion and integration of key datasets, including claims, eligibility, provider network, and referral data. • Develop and maintain clear, payer-ready methodology documentation describing RightMove’s cohort definitions, cost attribution models, and analytical methodologies. • Develop analytical models and reporting that inform market opportunity, utilization patterns, and care pathways across MSK populations. • Analyze cost and utilization trends by condition, geography, provider type, and site of care. • Evaluate patient care journeys and referral pathways to identify variation in care patterns and opportunities for earlier intervention. • Build dashboards and reporting tools using modern BI tools, likely Sigma or LightDash, to support internal decision-making and customer reporting. • Lead refinement of RightMove’s clinical savings models, estimating the financial impact of clinical programs and pathways. • Develop population-level cost and utilization models that support PMPM savings projections, intervention impact estimates, and value-based care contracting discussions. • Partner with clinical leadership and external experts to ensure analytical approaches reflect real-world care pathways and operational interventions. • Work with RightMove’s actuarial partner to validate savings methodologies, risk adjustment approaches, and cost modeling assumptions. • Translate analytical outputs into clear insights that support payer conversations, contracting discussions, and customer reporting. • Analyze provider and facility performance to identify cost drivers, variation in practice patterns, and referral behaviors. • Generate insights that support network design, preferred provider strategies, and referral pathway optimization. • Partner with clinical and market development teams to support provider engagement with actionable data insights. • Establish foundational data and analytics capabilities, including scalable reporting infrastructure and analytical workflows. • Partner with data engineering to build a modern analytics stack that supports both internal analytics and external customer reporting. • Develop internal dashboards and customer-facing reporting using business intelligence tools.

🎯 Requisitos

• 8+ years of experience in healthcare analytics, health economics, payer analytics, or health services research. • Deep experience working with medical and pharmacy claims data. • Strong understanding of ICD-10, CPT/HCPCS codes, and episode-based healthcare analysis. • Experience analyzing healthcare utilization patterns, cost drivers, and provider variation. • Experience building savings models, actuarial analyses, or value-based care analytics. • Strong SQL skills and proficiency in analytical tools such as Python, R, or similar. • Ability to translate complex analyses into clear insights and narratives for business leaders, clinicians, and payer stakeholders. • Experience presenting analytics and insights to customers, payer partners, or external stakeholders is strongly preferred.

🏖️ Benefícios

• (Not explicitly mentioned)