Senior Quantitative Researcher – Federal Health Program

🕒 vor 8 Tagen

🌵 Arizona, Colorado, +24 weitere Bundesländer – Remote

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💵 $130.000 - $160.000 / Jahr

⏰ Vollzeit

🟠 Senior

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Commence

Commence

501 - 1000 Mitarbeiter

🏥 Gesundheitswesen

🏛️ Regierung

🤖 Künstliche Intelligenz

Healthcare • Government • Artificial Intelligence

Commence ist ein Unternehmen für Gesundheitsdaten und -technologie, das datengestützte Lösungen bereitstellt, um Gesundheitsdaten zugänglicher, auffindbarer und interoperabler zu machen. Das Unternehmen kombiniert klinische Expertise mit KI-gesteuerter Datentransformation und einer Technologieplattform, um Betrug, Verschwendung und Missbrauch, unabhängige Streitbeilegung, Peer- und unabhängige Überprüfungen, Qualitätsverbesserung und Patientenvertretung anzugehen. Commence bedient staatliche Gesundheitsbehörden (CMS, VA, Defense Health Agency), staatliche und lokale Regierungsprogramme sowie kommerzielle Gesundheitskunden mit dem Schwerpunkt auf der Verbesserung von Ergebnissen, Genauigkeit und Programmintegrität.

Beschreibung

• Generate actionable insights informing CMS Innovation Center (CMMI) decision-making and Commence’s growth in federal health research • Design and execute monitoring for CMS/CMMI alternative payment models • Develop monitoring frameworks, performance metrics, data collection plans, dashboards, and risk reports • Translate model design documents and participation agreements into monitoring specifications using Medicare claims, enrollment, and participant-reported data • Design CMMI model monitoring frameworks, including logic models, measures, data sources, benchmarks, analytic methods, and reporting • Detect and investigate unintended consequences such as risk selection, coding intensity, care stinting, and shifts in referral or site-of-care patterns • Partner with data scientists and engineers to build dashboards, automated reporting, ML-based anomaly detection, and early-warning signals on the Commence platform • Write monitoring reports, briefings, and risk summaries for CMMI model teams • Turn findings into clear, actionable recommendations • Design and write technical approaches for CMS/CMMI and other federal agency proposals • Serve in key project roles • Apply monitoring methods to quality measurement and performance-reporting work for CMS and state partners • Mentor junior researchers and analysts • Manage teams, set priorities, coordinate tasks, engage clients and stakeholders, and ensure high-quality reports and products are delivered on time and within budget

🎯 Anforderungen

• Ph.D. in economics, health services research, health policy, public health, or a related field with 4+ years of relevant experience; or a Master’s degree with 8+ years • Hands-on experience monitoring CMS/CMMI alternative payment models • Working knowledge of APM and value-based care mechanics: beneficiary attribution, quality scoring, capitated payments, bundled payments, financial incentives, benchmarking, risk adjustment • Experience with Medicare and/or Medicaid administrative and claims data (e.g., CCW, IDR, VRDC) • Clear and concise writing for federal audiences • Proposal-writing experience • Must be authorized to work in the U.S. • Able to obtain and maintain a CMS-required background investigation (public trust) • Experience with Databricks or other cloud analytics platforms • Experience with Power BI, Tableau, or similar • Proficiency in SAS, R, Python, or SQL • Ability to sit, read, work on a computer, and watch a computer screen for extended periods • Occasionally able to stand, walk, use hands and fingers, kneel or crouch

🏖️ Vorteile

• Remote work • Occasional travel to the Baltimore/Washington, DC area for client meetings, orals, and team events • Reasonable accommodations for individuals with disabilities • Equal employment opportunities • Extended hours may be needed around proposal deadlines and key deliverables

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