Manager, Medical Economics

🕒 il y a 1 mois

🎸 Tennessee – Distant

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⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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👻 Score fantôme 31%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Chamber

Chamber

1 - 10 employés

🏥 Santé

⚕️ Assurance santé

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Chamber est une entreprise axée sur l'amélioration de la santé cardiovasculaire en permettant aux équipes de cardiologie de prospérer dans un environnement de soins basés sur la valeur. Elle s'associe avec des cardiologues pour offrir des solutions technologiques et des services de soutien qui permettent des soins complets et ouvrent de nouvelles opportunités de revenus, sans frais pour la pratique. Chamber aide à naviguer dans les soins basés sur la valeur grâce à des insights en temps réel, un soutien administratif et une expertise dans les négociations avec les payeurs. Avec un réseau solide de cardiologues performants et des partenariats avec des systèmes hospitaliers, Chamber transforme l'écosystème des soins en cardiologie pour s'assurer que les prestataires sont rémunérés pour fournir les soins appropriés au bon moment.

Description

• Own the creation and development of Chamber’s clinical impact reporting • Build reporting infrastructure, methodology, and narratives demonstrating program effectiveness to payers, partners, and leadership • Build and maintain SQL-based analytic processes and dashboards across medical claims, pharmacy claims, enrollment, and attribution data • Lead analysis of cost trends, utilization impact, clinical effectiveness, and economic and operational efficiency • Define how Chamber measures and communicates health economics success • Partner with senior executives as a key analytical stakeholder • Scale Chamber’s Medical Economics team and analytical platform as the business grows • Work with ambiguous data and requests to produce defensible, actionable outputs • Use SQL, Excel, AI tools such as Claude, and PowerPoint to build rigorous, accessible analyses • Audit Chamber’s health economics data landscape and document gaps • Develop and enhance reporting and dashboards for current risk contracts • Deliver cohort efficacy reporting on Transitions of Care and Medication Adherence, including inpatient utilization and medication therapy impact • Present performance reviews to senior leadership covering data reliability, analytical gaps, and priorities

🎯 Exigences

• At least 4 years of experience in medical economics, health economics or a related analytics or actuarial role • Fluency with value-based care performance metrics, including TCOC, avoidable inpatient utilization (APK), utilization benchmarks, quality measures, medication adherence, and economic efficiency indicators • Proficiency in SQL, Excel, and PowerPoint • Comfort with AI prompting tools as part of the analytical workflow • Familiarity with CMS value-based care models, such as MSSP and REACH • Familiarity with CMS-HCC risk adjustment and CMS quality scores • Ability to own analytical work end-to-end, including forming hypotheses, designing analyses, and communicating findings • High tolerance for ambiguity and ability to produce clear, defensible, useful outputs from messy data and unclear briefs • Strong written and verbal communication skills • Critical thinking and a scrappy operating style • Bachelor’s degree in health economics, public health, biostatistics, or a related field

🏖️ Avantages

• Remote work option • Hybrid work option in Nashville • Ability to work ET or CT hours

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