Build and maintain claims-based data extracts and measures from CMS data sources, including the Chronic Conditions Warehouse (CCW) and Limited Data Set (LDS), to support VBI Home Health and Hospice solutions.
Develop and maintain performance measures such as HHVBP claims-based measures, MSPB-PAC, Functional Items, hospitalization/ER/PPH/DTC rates, utilization and efficiency metrics, length of stay, and composite/percentile scores.
Interpret CMS regulations and annual Final Rules (e.g., HHVBP methodology, eTPS calculations) and translate measure specifications into accurate, reproducible SQL logic.
Write and optimize SQL against large claims datasets in BigQuery; contribute to data pipelines, quarterly lookup-table refreshes, and extract automation.
Produce referral pattern, competitive analysis, market/benchmark extracts, and validate outputs against CMS public benchmarks (e.g., Home Health Compare) and client expectations.
Investigate data quality issues and metric discrepancies, and document methodology, data sources, and assumptions so results are auditable and repeatable.
Prepare data for downstream BI/visualization layers (e.g., Sisense) and collaborate with product managers and engineers to define technical requirements and analytical interpretations.
Perform other job duties as assigned.

Bachelor's degree in quantitative, health-informatics, or related field, or equivalent work experience
2–4 years of experience in data analysis, with demonstrated proficiency in SQL against large, complex datasets
Direct experience working with Medicare/CMS claims data (e.g., CCW, LDS, LDS/RIF files, or comparable claims sources)
Comfort with healthcare claims coding structures (e.g., ICD, HCPCS/CPT, revenue codes, DRGs)
Ability to translate written specifications or methodologies into analytical logic and validate results for accuracy.

Data Analyst

Key skills