Senior Healthcare Data Analytics Specialist (CMS Stars)

Inovalon • Full-time • Bowie, MD, US • $84,600 - $140,000 / year • 1w ago

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Location: This position is a hybrid role based out of our Bowie, MD headquarters office. The current expectation is that we are in office two days each week (between Mon-Wed), with extra additional days as required during the month.

Business Unit: Payer

Overview: As a Senior Healthcare Data Analytic Specialist, primary responsibility is to acquire and transform clinical and health data from Inovalon’s technical platforms and databases to create impactful, dynamic, and insightful healthcare data analytics such as opportunity analyses, risk adjustment and predictive modeling, program evaluation studies, customer reporting, product development, and ad-hoc analytics.

Duties and Responsibilities:

Performs complex and detailed statistical analyses and modeling of clinical and operational data with outputs that are clear and relevant to the users.
Drive predictive analytics for Star Rating improvement initiatives
Ensure accurate measure calculation and reporting
Support strategic decision-making to maximize quality-based incentives
Navigate complex claims, quality, and clinical datasets to drive actionable insights that directly impact Star Ratings.
Participates in the design and development of statistical analyses and reports that explore and present large amounts of data to discover underlying patterns and trends related to quality, safety, and clinical performance.
Works with information from a variety of sources, including the EHR, publicly reported quality measurement and reimbursement data, and other resources using a variety of highly specific tool such as, but not limited to, SAS, R, SPSS, Stata, SQL or Tableau.
Develop requirements for data mapping and data loading processes. Execute data mapping/loading requirements and reconciling of such activities.
Plan and design data integration strategies, develop intuitive designs, and build enterprise interactive dashboards with built in guided healthcare data analytics.
Identify and research anomalies and outliers in data. Identify problematic areas and conduct research to determine the best course of action to correct the data.
Monitor and perform trend analysis for the company and research report on anomalies Maintain compliance with Inovalon’s policies, procedures and mission statement.
Act as subject matter expert to key stakeholders.
Maintain compliance with Inovalon’s policies, procedures and mission statement.
Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer.

Job Requirements:

At least 5 years of experience in data analytics, data science, or related field.
Expertise in CMS quality measure methodologies, HEDIS reporting, and Star Rating analytics.
Conceptually understanding Medicare and Medicaid
Experience conducting statistical analyses and data mining using tools, such as SPSS, SAS, Stata, or Minitab.
Experience with data management and visualization tools, such as SQL, Python, Snowflake, and Tableau.
Possession of strong analytical / statistical skills used in evaluating and analyzing data.
Strong organization skills and attention to details, comfortable working with minimum direction.
Adaptable to changing organizational requirements and priorities and supportive of a diverse work force.
Ability to collaborate with others in diplomatic, tactful manner, while exercising sensitivity and discretion as needed.
Advanced PC skills (Excel, PowerPoint, Word, Visio, and other programs).
Excellent written and verbal communication skills.

Education:

Bachelor’s degree in Information Systems, Computer Science, Statistics, Analytics, or a related field of study;
In lieu of the Bachelor’s degree, plus at least 5 years of experience, will accept a Master’s degree in Information Systems, Computer Science, Statistics, Analytics, or a related field of study, plus at least 3 years of experience.

Physical Demands and Work Environment:

Sedentary work (i.e., sitting for long periods of time);
Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions
Subject to inside environmental conditions; and
Travel for this position will include less than 5% locally usually for training purposes.

Inovalon Offers a Competitive Salary And Benefits Package

In addition to the base compensation, this position may be eligible for performance-based incentives.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.

Base Compensation Range

$84,600—$140,000 USD

This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)

If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.

By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

To review the legal requirements, including all labor law posters, please visit this link

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