Lead Data Analyst - Alternative Payment Models

CareJourney’s mission is to empower individuals and organizations they trust with open, clinically-relevant analytics and insights in the pursuit of the optimal healthcare journey. We are a fast-growing start-up in Arlington, VA that builds software products which serve over 150 industry-leading healthcare organizations that include Walgreens, Merck, Privia, Clover, Oak Street, and more.

We are looking for driven professionals that are excited to join a growing business where they will have a strong voice in the direction and success of the company. Our company offers competitive benefits across salary, equity, medical, parental leave, and more. We provide in-office and remote work flexibility and have a flexible vacation policy. Our culture embraces teamwork and cross-functional collaboration for a fun and exciting environment. 

We are looking for a talented, motivated, and high-performing Lead Analyst to join our Analytics team. The Lead Analyst will demonstrate strong analytic skills and deep healthcare expertise to create innovative benchmarking and risk management analytics for our member base. They will be responsible for creating analytics to inform member’s business decisions and supporting the development and deployment of CareJourney’s suite of insights, products and services to its member-base.

Key Responsibilities

• Serve as an independent contributor on the CareJourney Analytics team, leading analytic development projects 
• Design and perform actuarial studies related to medical care costs and trends.
• Generate and share analytical results and strategic insights for costs of care initiative program savings, healthcare cost trend drivers, risk adjustment, and clinical operational metrics
• Lead projects from start to finish including scoping, defining business requirements, prototyping analyses, and ensuring quality of results.
• Work cross-functionally with other teams at CareJourney including but not limited to: Engineering, Product, Member Services, and Sales.
• Proactively engage with internal teams to ensure understanding of the analytics offering, spot opportunities for new analytics products, and ensure insights are put into action.
• Create data mining architectures/models/protocols, statistical reporting, and data analysis methodologies to identify trends and derive insights from large health care data sets.
• QA analyst team work through review of the code line and data validation

Responsibilities May Also Include:

• Serve as the external facing primary point of contact for various short-term and ongoing client engagements, involving direct communication and interaction with stakeholders of varying levels within large/complex accounts
• Assist with sizing and scoping of new analytic engagements and projects
• Deliver completed work to client points of contact, including generating insights and presenting these insights to external stakeholders
• Lead a team of data analysts within an analytics project to build a body of content across all our data products by interpreting and/or defining the needs and directing work accordingly.

Required Skills

• BS/BA degree
• M.S. or Ph.D. from a statistics, mathematics, computer science, computational social science or operations research program or equivalent experience preferred.
• Advanced programming experience (preferably SAS and SQL)
• At least 5 years of relevant healthcare actuarial experience
• Minimum of 5-10 years' experience working as a data analyst or actuarial analyst in the healthcare industry
• Minimum of 5 years' experience working in Medicare Advantage analytics/informatics team combined with experience in healthcare claims
• Experience working with large volumes of healthcare claims data (Commercial, Medicare, or Medicaid)
• Proven expertise in actuarial practices, with a focus on leading and managing performance forecasting
• Comprehensive knowledge of Accountable Care Organization (ACO) dynamics and payer strategies in the context of value-based healthcare
• Well-versed in the intricacies of Medicare Advantage and Medicare Accountable Care Organizations.
• Strong problem-solving aptitude with an ability to define practical, scalable approaches to analytics needs supported by quantitative analysis
• Deep interest and aptitude in data, metrics, analysis and trends and applied knowledge of measurement and statistics
• Experience in statistical analysis: regression, predictive modeling, collaborative filtering, etc. and analytical modeling using large datasets
• Effective written and verbal communication skills with both technical and non-technical internal teams
• Project management skills and the ability to prioritize various tasks effectively across multiple stakeholders simultaneously

Desired Skills

• Strong familiarity with Python, R or other programming languages outside of SAS
• Prior experience with CMS’s Virtual Research Data Center (VRDC)
• Experience in business process analysis, data architecture design and development as well as the implementation of workflow enabled solutions
• Passion for working with large quantities of data and extracting meaningful insights from databases.
• Ability to move easily between technical activities and providing insights and project updates to executives or customers
• Experience executing on client-facing analytics projects and delivering insights
• Strong business acumen, with the ability to identify opportunities to develop new analytics assets and awareness of market trends and best practices
• Experience with value-based contracting is highly desirable 

About CareJourney – Headquartered in Arlington, VA, CareJourney empowers individuals and organizations they trust with open, clinically-relevant analytics and insights in the pursuit of the optimal healthcare journey. Through our solutions, we provide members with interactive dashboards around network design and management, care model management, patient risk segmentation and cohort analysis, spend and utilization trends, network integrity, low-value care, and provider, practice and facility (acute and post-acute) performance. Founded in 2014, CareJourney is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Please visit us at www.carejourney.com for more information.