Value-Based Programs Analyst – Medicare, ACO

Role Overview

• Produce and maintain ACO reporting package including performance reporting for ACO Medicare programs (e.g., MSSP, LEAD, ACCESS, etc.)
• Analyze ACO datasets and claims files to identify trends and compare against CMS benchmarks and targets
• Partner with Operations, Finance, and Clinical teams to translate data findings into actionable insights and performance improvement opportunities
• Support financial and quality analyses related to shared savings, total cost of care, utilization trends, and quality measure performance
• Validate data accuracy and completeness across multiple data sources; ensure integrity of ACO program data; work with Data Analytics team on issue resolution
• Partner with Data Analytics team to develop dashboards and visualizations to communicate trends, risks, and opportunities for ACO leadership and key stakeholders
• Leverage data to automate business processes supporting care coordination, attribution / alignment, network management, and other operational workflows
• Possesses strong SQL skills / ability to query data; has experience working with data editing environment, Snowflake
• Stay current on CMS program requirements, ACO regulations, and value-based care metrics impacting Original Medicare programs
• Coordinate the timely production and submission of reports per the specifications and timetables established by external bodies and internal leadership. Ensure reports are distributed or are available to stakeholders, teams, committees, etc. that would likely benefit from the information.
• Advise on design of meaningful, insightful, compelling data formats for the effective communication of information, customized to target audience(s).
• Present information on conference calls, web meetings, in-person meetings, and other group communication methods.

Requirements

• Bachelor's Degree or equivalent experience
• 7+ years of healthcare analytics, population health, or value-based care experience
• Experience supporting Medicare ACO programs
• MSSP, ACO REACH, LEAD, etc.
• Skill and experience with SQL / SQL editors (i.e., Snowflake), data visualization / reporting tools (i.e. PowerBI), and information processing tools (such as Word, Excel, PowerPoint)
• Skill and experience in quantitative analysis with strong reasoning ability
• Curiosity and drive to quickly learn and understand new systems and processes
• Ability to independently manage complex, simultaneous assignments with potentially conflicting priorities and deadlines and with limited resources.

Tech Stack

• SQL

Benefits

• medical, dental and vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance and many other opportunities.