Senior Data Analyst

Senior Data Analyst

This job is no longer open
A bit about us: 

We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being. 

That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly. 

"We want to partner with people we love for a cause we believe in. Life is short. Join us."


A bit more about this role: 
The Senior Data Analyst  is a key operational leader on the Risk Adjustment team. He or she will be responsible for assisting in the complete, accurate, and successful submission of our risk adjustment data. To this end, the analyst will design KPIs that allow the Risk Adjustment team to monitor the health of our data submission pipeline. He or she will also need to develop a deep understanding of the CMS data submission systems (RAPS and EDPS);  track and resolve returned data submission errors against operational turnaround times; and support our Risk Adjustment Program Integrity team. 

Responsibilities will include:

    • Monitoring our data submission and payment health: 
    • Develop, maintain, and improve metrics towards monitoring the successful submission of our risk adjustment data 
    • Diagnose and escalate discovered data submission issues/errors 
    • Correcting and reducing data submission errors: 
    • Develop workflows for tracking and addressing CMS return file submission errors that cause encounter or chart review data to be rejected 
    • Address submission errors by correcting and resubmitting data that has been rejected and also identify upstream data issues that may be leading data to be frequently or categorically rejected 
    • Collaborate with our product and engineering team on solutions to mitigate potential causes of data submission errors 
    • Supporting the integrity of our risk adjustment data program: 
    • Work with our Program Integrity team to design monthly audits of vendors and internal retrocoding teams 
    • Support the development of our sampling methodology and analysis of mock CMS RADV audits

Key attributes:

    • Ability to understand and work with complexity
    • Excellent listener and communicator
    • Natural relationship builder and able to work well in a cross functional team environment
    • Strong attention to detail; value quality and accuracy
    • Pragmatic and deliverable-oriented

Desired skills and experience:

    • Ability to work in a fast-paced, start-up culture
    • Hands-on experience with analytical tools, including SQL and BI tools
    • Prior experience in Medicare Advantage risk adjustment is a plus
    • Track record of success delivering elegant solutions to complex problems

#LI-DS1
#LI-REMOTE

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!  If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.

Devoted is an equal opportunity employer.  We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

COVID-19 Vaccination Requirement: Where permitted by applicable law, candidates must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered. The Company will provide reasonable accommodations to qualified employees with disabilities or for a sincerely held religious belief, practice, or observance.
This job is no longer open
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