RemoteLeaf Logo
Log in Sign up

Sr. Medical Economics Analyst

11 hours, 10 minutes ago
Anywhere
Full-time
Mid Level
Business Intelligence Analyst
Data Science and Analytics
Azure HIPAA SQL
Apply Now
Ennoble Care

Ennoble Care

Ennoble Care provides personalized at-home primary, palliative, and hospice care, ensuring that individuals receive compassionate support in the comfort of their own surroundings.

Health Care Providers & Services
51-250
View All Jobs 3

Description

  • Develop and maintain risk-adjusted provider group performance models using CMS-HCC methodology.
  • Analyze value-based care performance under CMS and CMMI total cost-of-care models.
  • Monitor and forecast financial performance across assigned patient populations.
  • Conduct claims analysis using CCLF and BCDA datasets, including CMS-HCC risk adjustment simulations.
  • Process and analyze large healthcare datasets from EHR systems and Medicare claims data.
  • Ensure data quality and integrity across analytical processes.
  • Create analytical reports that turn complex actuarial findings into actionable business insights.
  • Develop executive dashboards and performance metrics aligned with strategic goals.
  • Present findings and recommendations to leadership teams and clinical stakeholders.
  • Support budget planning and financial forecasting processes.
  • Stay current with CMS and CMMI program requirements and quality measures.
  • Collaborate with revenue cycle and coding teams to improve documentation and billing accuracy.

Requirements

  • Bachelor's degree in Data Science, Statistics, Mathematics, Economics, Business Administration, or a related quantitative field.
  • 3-5 years of data analytics experience, preferably in healthcare or Medicare-focused environments.
  • Hands-on experience with Medicare risk adjustment and CMS-HCC models.
  • Experience working with CMS and CMMI total cost of care (ACO) programs.
  • Experience analyzing Medicare claims data, specifically CCLF and BCDA datasets.
  • In-depth knowledge of healthcare billing processes from both provider and CMS perspectives.
  • Advanced proficiency in Microsoft Excel, including pivot tables and complex formulas; VBA preferred.
  • Strong SQL skills with the ability to write complex queries and optimize database performance.
  • Experience with Microsoft Azure cloud platform and related analytics tools.
  • Proven ability to work with very large datasets and combine data from multiple sources.
  • Experience integrating EHR data with claims datasets for population health analysis.
  • Ability to maintain strict confidentiality and work with sensitive healthcare information in accordance with HIPAA and other regulations.

Benefits

  • Fully remote work with up to 10% travel.
  • Medical, dental, and vision coverage.
  • Supplementary benefits including life insurance, short-term and long-term disability, and FSA options for medical and dependent care.
  • Accident, critical illness, and hospital indemnity coverage.
  • Paid time off.
  • Paid office holidays.
  • Paid sick time.
  • 401(k) with up to 3% company match.
  • Referral program.
  • Payactiv pay-on-demand access to earned wages.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Coforge

Senior Technical Business Analyst (Data)

Coforge 10K-50K IT Services

Coforge is hiring a Senior Technical Business Analyst (Data) to help shape data products and analytics solutions for billing, payments, and insurance data in a remote role across Latin America.

Colombia Peru Costa Rica Bolivia Lead Business Analyst Business Intelligence Analyst
Databricks dbt Power BI SQL
10 hours, 40 minutes ago
Lyra Health

Business Intelligence Analyst

Lyra Health 1K-5K Health Care Providers & Services

Lyra Health is hiring a Senior Business Intelligence Analyst in South Africa to help modernize its data stack and turn complex clinical and business data into reliable, executive-ready insights.

South Africa Full-time Senior Business Intelligence Analyst
dbt Power BI Snowflake SQL SQL Server Tableau
1 day, 10 hours ago
#paid

Director, Measurement & Insights

#paid 51-250 Media

#paid is hiring a Measurement Lead to build and scale the company’s campaign measurement function from the ground up within its CX Ops team, partnering across data, sales, strategy, and customer success to answer whether campaigns worked.

United States Full-time Executive Business Intelligence Analyst Data Analyst
$170k-$200k
SQL
1 day, 11 hours ago
CI&T

[Job - 30399] Master Full-Stack Developer (AI, BI & Digital Product Improvement)

CI&T 5K-10K Internet Software & Services

CI&T is hiring a Master Full-Stack Developer to support the Tessera platform and lead Power BI, web platform, and AI-focused work within an enterprise digital transformation environment.

Brazil Full-time Senior Business Intelligence Analyst Full-stack Engineer
Docker GCP Java LLM Machine Learning Material UI MySQL Power BI React Spring Boot TypeScript
3 days, 10 hours ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers