Senior Analyst, Medicaid ACO

Boston, MA

Posted: 05/24/19 Category: Healthcare IT Job Number: 7530

Position Title: Senior Analyst, Medicaid ACO

Job Location:  Greater Boston Area

Interview Expectations:  onsite

Local Candidate: yes

Required Skill Sets: Must have Medicaid exp, ACO exp, SQL, Payer

POSITION SUMMARY:

Reporting to the Analytics Manager, the Senior Analyst serves as the key analytic resource to meet the information, reporting, and analytic needs of the Medicaid Accountable Care Organization.

KEY RESPONSIBILITIES:

As a critical member of the SHCN Analytics Team, the Senior Analyst performs the following functions:

• Conducts sophisticated business analyses to support Medicaid ACO program development and ongoing operations, grounded in deep expertise and functionality with both internal and publicly available Medicaid-related health care data sources

• Develop comprehensive, timely and accurate analyses, reports and presentations on utilization, leakage, risk performance, care management, and quality metrics on Medicaid ACO care risk contracts for SHCN' s Medicaid ACO

• Deliver accurate and on-time deliverables, including dashboard reports, cost estimates, models and ad-hoc analyses

• Track and evaluate key performance metrics

• Work with business and operational leaders to identify TME opportunities and quantify ROI for related programs

• Coordinate with  internal data, analytics, and information technology teams to manage data and reporting related to Medicaid programs

• Identify opportunities to improve and enhance the analysis and information provided to SHCN leadership, participating network providers, and community partner organizations 

• Work with analysts and analytic tool vendors to improve standard report design  

• Support ad hoc analytic requests, providing accurate and timely data, analysis and insightful interpretations

REQUIRED KNOWLEDGE & SKILLS:

• Possess strong analytic and technical skills plus an ability to translate complicated data into useable information; 

• Ability to work on multiple projects simultaneously, deliver work products on deadline, and respond to new requests with fast turn-around, as needed

• Strong skills in SQL, Excel, PowerPoint; one or more years of BI tool experience preferred (Qlik, Tableau)

• Ability to be thorough and be careful about details

• Excellent working knowledge of statistics

• Organizational and project management skills to manage projects effectively;

• Demonstrated knowledge of relationships between health plans and providers, including detailed understanding of health plan data and familiarity with Medicaid and other public programs;  

• Possess an in-depth understanding of claims data, including ICD-9 & CPT codes, DRGs, health status and risk adjusters; 

• Excellent verbal and written communication skills, including the ability to graphically present complex data; outstanding interpersonal skills; and ability to relate positively with individuals at all levels of the organization  

• Creative, flexible, and self-motivated with sound judgment; ability to plan and implement;

• Commitment to service excellence

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

Education:  BA/BS required; Master' s degree preferred.
Experience:  Three to five years of relevant experience in healthcare, analytics, or informatics. 
Certification/Licensure:  N/A
Software/Hardware:  MS Office, SQL/SAS, Qlik, Tableau and/or other query/analytic tools.

Matthew Poplawski
Technical Recruiter

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