Lead Analyst, Insights - Health Value Optimization (MSK)
Cohere Health, Inc., Lead Analyst- Insights, Health Value Optimization (MSK) (Boston, MA-Remote): Work closely with cross functional teams to support the design, monitoring, and evaluation of data-driven clinical intervention programs, with a particular emphasis on Musculoskeletal (MSK) and physical therapy programs. Perform and pilot data modeling, mining, processing and analysis to extract and analyze complex healthcare information to support our data-driven clinical program. Duties include:
- Analyze, manipulate, or process large sets of data using statistical & analytics software to transform data into inferences with respect to cross-functional workflows and their intersection with clinical content, services, products and client needs.
- Drive design and development cross functionally to produce data analytics and reports and draw business and clinical insights to:
- Identify target patient and provider populations;
- Define outcome and success metrics and set targets with clinical program leaders;
- Monitor clinical programs and pilots and refine targets;
- Perform formal program evaluation using advanced econometrics;
- Maintain and manage documentation of methodology of opportunity analysis/impact evaluation analysis to allow for scalability to multiple programs and interventions across types of services, care paths/diagnosis groups and lines of business (e.g., Medicare Advantage, commercial Medicaid);
- Proactively identify opportunities and questions to inform clinical specialty program strategies and improve medical expense trends and quality of care, including:
- Analyzing market, payer and provider variations in trends, utilization, cost, and quality by line of business and procedure.
- Leverage advanced statistical techniques such as predictive modeling or cluster analysis to identify drivers of unfavorable trends in utilization, cost, or quality.
- Collaborate with clinicians, program implementation and operation experts, informaticists, data scientists, and actuaries to support clinical programs and pilot designs.
- Clean and manipulate raw data using statistical software and compare models using statistical performance metrics.
- Develop Tableau dashboards and client-facing deliverables to report medical expense trends, quality performance, and associated insights to inform action plans.
- Coordinate and lead analytics activities across multiple projects simultaneously, delegating work to junior analysts and collaborating cross functional teams with senior leaders on delivery timelines and criteria
- Support the onboarding, training and development of Junior Analysts at Cohere.
Minimum Requirements:
Masters degree in Computer Science, Data Science, Epidemiology or closely related field and three (3) years of professional data analysis experience in the healthcare industry (payer, provider or consulting);
Qualified candidates must possess the following experience (may be gained concurrently with the above):
Three (3) years of experience with:
- Utilizing observational data analysis methodologies including predictive modeling, machine learning, pre- and post-, quasi-experimental design, difference in differences with large data sets that include medical claims, pharmacy, and eligibility data.
- Working with analytical and programing languages, including: SQL, R, and Python;
- Utilizing Tableau.
- Working with medical, pharmacy, and lab claims as well as EHR data to extract clinical information for analytics and modeling purposes.
- Leading analytical projects across teams, including guiding junior analysts
And
One (1) year of experience designing, developing and evaluating clinical intervention programs focused on MSK conditions and physical therapy.
This position is remote and can be performed from any location within the United States. Salary is $137,946 per year for a 40-hour work week.
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