
501 - 1000 employees
🏥 Healthcare
🏛️ Government
🤖 Artificial Intelligence
Healthcare • Government • Artificial Intelligence
Commence is a healthcare data and technology company that delivers data-centered solutions to make health data more accessible, discoverable, and interoperable. The company pairs clinical expertise with AI-driven data transformation and a technology platform to address fraud, waste & abuse, independent dispute resolution, peer and independent reviews, quality improvement, and patient advocacy. Commence serves federal health agencies (CMS, VA, Defense Health Agency), state & local government programs, and commercial health customers, focusing on improving outcomes, accuracy, and program integrity.
🔥 0 minutes ago
🌵 Arizona, Colorado, +24 more states – Remote
💵 $160k - $200k / year
⏰ Full Time
🔴 Lead
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501 - 1000 employees
🏥 Healthcare
🏛️ Government
🤖 Artificial Intelligence
Healthcare • Government • Artificial Intelligence
Commence is a healthcare data and technology company that delivers data-centered solutions to make health data more accessible, discoverable, and interoperable. The company pairs clinical expertise with AI-driven data transformation and a technology platform to address fraud, waste & abuse, independent dispute resolution, peer and independent reviews, quality improvement, and patient advocacy. Commence serves federal health agencies (CMS, VA, Defense Health Agency), state & local government programs, and commercial health customers, focusing on improving outcomes, accuracy, and program integrity.
• Lead the design and execution of implementation, operations, and evaluation tasks for CMS/CMMI alternative payment models • Translate model design documents and policy goals into operational methodologies and specifications using Medicare, Medicaid, claims, enrollment, programmatic, survey, and census data • Develop, refine, and implement value-based care methodologies, including participant screening and monitoring, beneficiary attribution, payment mechanisms, benchmarking, financial adjustments, risk adjustment, and quality measures • Design and execute evaluations using monitoring methodologies, comparison groups, propensity score matching, synthetic controls, difference-in-differences, and event studies • Partner with economists, data scientists, and engineers to conduct research, create prototypes, and apply ML-based methods on the Commence platform • Write methodology documents, evaluation reports, and briefings 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 • 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
• Ph.D. in economics, health services research, health policy, public health, or a related field with 9+ years of relevant experience; or a Master’s degree with 13+ years • Hands-on experience implementing and/or evaluating CMS/CMMI alternative payment models; experience with both is preferred • Working knowledge of at least two of: participant screening and monitoring, beneficiary attribution, payments and financial incentive design, quality measurement, comparison group design, quasi-experimental evaluation methods (difference in difference, event study); mixed-methods • Experience with Medicare and/or Medicaid administrative and claims data, including CCW, IDR, or VRDC • Clear and concise writing for federal audiences • Proposal-writing experience • Experience leading main tasks or projects and managing and mentoring staff • Must be authorized to work in the U.S. • Able to obtain and maintain a CMS-required background investigation (public trust) • Preferred experience with Databricks or other cloud analytics platforms and 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 • Ability to occasionally stand, walk, use hands and fingers, kneel or crouch
• Remote position • Occasional travel to the Baltimore/Washington, DC area for client meetings, orals, and team events • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions • Equal employment opportunity and disability accommodation support
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