Experience Inc. Jobs

Job Information

Independent Health Provider Analytics Research Scientist in United States

FIND YOUR FUTURE

We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and commitment to diversity and inclusion.

Overview

The Provider Analytics Research Scientist will be responsible for designing and overseeing research projects and developing statistical models and/or analytical tools and processes aimed at improving health outcomes, quality of care, access to care, engagement, and affordability of care for IHA members. The incumbent will be expected to work closely with various business units and sometimes lead projects and the teams related to provider profiling, network evaluation, clinical program evaluation, population risk stratification, utilization patterns, and other research topics as they relate to our strategic initiatives. In addition, the incumbent will be expected to keep up with latest research methods and data science tools and capabilities and apply new techniques as appropriate. Substantial scientific innovation is required to expand and evaluate the above-mentioned activities.

Qualifications

  • Master’s degree required (PhD preferred) in a quantitative/research discipline such as epidemiology, statistics, econometrics, behavior economics, data sciences, or other related disciplines. Bachelor’s degree and an additional two (2) years of experience will be considered in lieu of Master’s degree.

  • Seven (7) years of research experience to include experience in a managed health care environment required.

  • Expert knowledge of Independent Health Enterprise Data Warehouse (EDW), Health Rules, and Power data and structures preferred.

  • Presentation experience preferred.

  • Solid experience in the application of modern statistical design and research techniques to health-related data.

  • Solid knowledge of behavioral economics concepts and technics to build incentive models.

  • Expert knowledge of MS suite and software for statistical analysis, data mining and other tools used for AWS query and reporting and managed care principles: SQL, SAS, R, Python, etc.

  • Expert understanding of data warehouse and structured data models, established understanding of both medical and pharmacy data and managed care coding.

  • Understand value of integrating multiple data sources: understands different types of data, such as clinical, administrative and personalization, and can draw associations with this data.

  • Expert knowledge of healthcare concepts and methods.

  • Ability to lead and work with minimal supervision on major projects and oversee the work of junior analysts.

  • Ability to work independently on projects, ability to work on multiple complex projects at one time, ability to translate business needs into requirements and reporting needs.

  • Ability to work with at least one of the less common data sources such as lab results, immunization datasets, EMR data, ADT data, Aeriel, or unstructured data.

  • Ability to present and communicate output and analysis in a meaningful way, “tell the story”.

  • Considered an expert and SME in their respective area of expertise. Ability to interact with both internal and external customers and provide both results and recommendations for delivering analytics solutions with minimal guidance.

  • Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable.

Essential Accountabilities

  • Maintain a close working relationship with Provider Engagement, NCM, PHM, PCP Value, and SCP Value Teams.

  • Support the development, maintenance, and issue resolution of PCP Attribution and PCP Affiliation.

  • Develop and assist in the development of SCP Attribution.

  • Assist in the development of provider related extracts.

  • Regularly assess best practices in regard to analyzing provider performance, how other entities are reporting, and available tools to assist in provider performance reporting.

  • Maintain a standardized process that will serve as a consistent method to producing Practitioner and Practice Performance Reporting for Cost and Quality of Care.

  • Support Transparency of practitioner related performance.

  • Address provider related requests that pertain to efficiency and effectiveness performance.

  • Support provider related regulatory, portal metrics, contracts, special arrangements, and incentives.

  • Work with other informatics teams to establish data lineages and relationships as they pertain to provider level datasets.

  • Provide practitioner/practice/specialty trending related to the efficiency and quality of care.

  • Develop and maintain a standardized process for reporting practitioner related potential savings opportunities.

  • Develop and maintain a standardized process to analyze ROI of practitioner related contracts, initiatives, and special arrangements.

  • Utilize and modify the enterprise level reports to establish practitioner analytics.

  • Assist in the automation of all reporting.

  • Assist in the development of provider 360.

Hiring Compensation Range: $100,000 - $125,000 annually

Compensation may vary based on factors including but not limited to skills, education, location and experience.

In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click here (http://www.independenthealth.com/about/careers/additional-eeo-aap-information) for additional EEO/AAP or Reasonable Accommodation information.

Current Associates must apply internally via the Job Hub app.

The Independent Health Family of Companies, headquartered in Buffalo, NY, serves nearly 400,000 members and provides innovative health care products and benefits designed to engage consumers in their health and well-being. Established in 1980, our comprehensive portfolio includes Pharmacy Benefit Dimensions, Reliance Rx, Nova Healthcare Administrators, Care for You and the Independent Health Foundation.

Our culture sets us apart. Our core values drive who we are and the work we do. As a member of our family, you’re part of something special, in your work and in the community.

We understand and appreciate that everyone has unique experiences, perspectives and identities which is why we pledge to create a safe space where all people and ideas are welcomed. We are here to continue learning and to generate important dialog.

We are committed to doing what matters most - reaching out, working together, and caring for our community. A healthy community benefits everyone who lives in it. You too can be part of making difference in the lives of others, together we achieve so much more. Please click here (http://www.independenthealth.com/about/community-report) to view our Community Reports.

Apply today and join us on the journey to a happier, healthier, and more inclusive community.

We are committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. We are a drug-free workplace. An applicant for employment in need of an accommodation to participate in the application and recruitment process should contact Human Resources at: accommodations@independenthealth.com

Please note, we do not accept unsolicited resumes. We do not accept resumes from headhunters, placement agencies, or other suppliers that have not signed a formal agreement with us.

DirectEmployers