
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
💵 $130k - $160k / year
⏰ Full Time
🟠 Senior
👻 Ghost score 0%
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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.
• 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
• 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
• 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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