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Position: Healthcare Analytics Director
Position Summary: If you were to be in this role, your primary responsibility would be to ensure the clienteeds are met. To do this, you would collaborate with the engagement team to identify the clienteeds, ensure the statement of work (SOW) that defines the deliverables is complete and accurate, perform the work outlined in the SOW, and partner with the team on leading the client through the process and communicating results.
More specifically, your job would be to:
Understand the clientusiness goals well-enough to ensure the SOW will meet their needs
Lead the discovery of the clientMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the analyses
Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks
Partner with our biostatisticians and data scientists to perform the analyses and displays
Communicate results/findings with the client and identify implications and recommend actions
In this role, youlso have responsibility to take on new challenges. For example, today the EMR/EHR data weworking with for one client doesnnclude real-time data streams, but over the next few months we will have access to streams that are real-time and need you to partner with our technology partners to intake, analyze, and output that so that it is maximally actionable by our client.
Job Description: Skills, Knowledge, and Attributes
The skills, knowledge, and attributes welooking for are listed below:
- Attitude: A generally positive demeanor and outlook, works well with others and is community-minded, has a proactive leadership orientation, and enjoys contributing through work.
- Healthcare Domain Knowledge: Conceptual understanding of how hospitals and systems work, how theypaid by commercial carriers and the government, and how changing reimbursement is necessitating that hospitals and health systems be able to identify and manage risk; be able to decipher the healthcare-alphabet-soup that includes ACA, ACO, AMA, BMI, CMS, through to HIE and HIPAA, etc.
- Healthcare Data Expertise: Current ds-onrking knowledge of healthcare data, including data from EMR/EHR and/or from medical and pharmacy administrative claims; strong preference will be given to those with expertise from working with claims data from multiple lines of business and payers.
- Social Determinants of Health (SDH) Expertise: Also, current ds-onowledge of seeking out new sources of socioeconomic, public record, biometric, and retail/consumer data, including acquisition of new SDH sources.
- Analytical Actions: Logical and systematic approach to problem solving, with the ability to visualize, articulate, and solve complex problems and concepts, make decisions, and take appropriate action
- Multi-Faceted: Track record in charting untested waters; need to possess conceptual skills to learn new technologies, and contribute to areas such as infrastructure, administration, and project management with ease
- Handy with Tools: Working knowledge of database and analytic tools including SQL and SAS (or, equivalents)
- Data Model Knowledge: Have a deep enough understanding of data model approaches to be able to discuss the pros/cons of each with our clients and data architects and create business requirements
- Technical Leadership: Experience in conceptualizing analytic projects end-to-end and ability to guide other analysts with detailed reviews of their work and providing overall technical leadership
- Value Orientation: Ability to constantly calibrate activities to ensure effort is focused on value and not solely on technical activities, cost, and schedules
Minimum Resume Requirements
- 8+ years of experience in healthcare data analysis (including EMR/EHR, claims, eligibility and publicly available data such as CMS LDS)
- Experience in writing and testing data integration programming code that involves large volumes of healthcare data in disparate tables
- Experience in writing ETL code across disparate administrative, clinical, and SDH data sets using SAS, SQL, or Python (or, equivalent)
- Experience in health care data modeling, in particular, using disparate data sources to create large data sets (1000+ variables) for use in machine learning-based predictive modeling.
- Utilization of analytical tools including SAS, SPSS, and open-source including Python and R
- End-to-end experience with SASoduct suite including experience with SAS Visual Analytics reports, from backend data to user-facing reports.
- Design and leadership of significant analytic work and teams
- Undergraduate degree in analytical fields and completion of at least 5 Society of Actuary (SOA) exams Experience with multiple programs and payers including: 1) Medicare Advantage (MA) ecific knowledge of risk adjustment, and program measures and requirements. 2) Medicaid owledge of Medicaid payment structures and systems. 3) Individual and small-group coverage miliarity with risk adjustment and provisions of ACA 3Rs program. 4) Provider contracting miliarity with the considerations when building and maintaining an Accountable Care Organization
- Deep familiarity with HEDIS & CMS care quality measures. Experience implementing both HEDIS and CMS measures using SAS and/or SQL.
Resume preferences, but not requirements, include:
Masterr equivalent in epidemiology, public health, mathematics, health services research
Benefits: In addition to competitive salaries, challenging work assignments, and developmental opportunities, Lumeris offers employees a comprehensive benefits package to include medical, dental, vision, life insurance, short-term and long-term disability, paid time off (PTO), matching 401K, and tuition assistance.
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Lumeris is an EEO/AA employer M/F/V/D.
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Location: New Orleans, LA
Time Type: Full time
Status: XL - FT