Consulting Research Analyst or Senior - Risk Adjustment at Cambia Health Solutions

Posted in Other 10 days ago.

Location: Spokane, Washington





Job Description:

Consulting Research Analyst or Senior - Risk Adjustment

The position can be remote in the four Cambia states - OR, WA, ID or UT






At Cambia, our members need us more than ever, and to continue serving them, we need to be vaccinated. Following federal mandate, all Cambia Health Solutions employees, including 100% remote workers, need to be fully vaccinated for COVID-19 by 1/1/22.



The Consulting Research Analyst or Senior provides consultation on the design, testing and enhancement of corporate programs. Achieves actionable insights and solutions using analytical and statistical methods, project management and business knowledge. Researches and evaluates programs and outcomes to determine performance against stated objectives. Documents and communicates recommendations and solutions to business partners. Provides quantitative analysis and recommendations related to risk adjusted revenue streams.



Responsibilities:


  • Perform complex analyses on programs and initiatives and creates visual representations and summary reports of findings. Develops meaningful dashboards and presentations that use information to inform and influence business activities and strategies.

  • Applies knowledge of state and federal regulatory policies and procedures to program analysis and recommended actions.

  • Extract, sort, cleanse, aggregate and process data from multiple sources, developing queries and reports based on business requirements.

  • Work both independently and as part of a larger team supporting various internal customer groups on identifying business challenges and evaluating solutions to achieve objectives.

  • Collaborate with cross-functional teams to develop business cases, identify business problems and understand desired business outcomes.

  • Completes analysis and applies judgment to derive recommendations for complex challenges and initiatives.

  • Ensures the appropriate identification of root causes through effective use of data analysis tools and techniques.

  • Prepares and presents standard and ad-hoc analysis to business partners that help guide decisions and support results.

  • Perform responsibilities above with an increased degree of independence and self-direction.

  • Provide higher level consultation on findings and recommendations.

  • Works and interacts across the organization with a variety of business units.


Minimum Requirements:

  • Experience with the use of diagnosis-based risk adjustment tools for predictive analytics or reimbursement

  • Experience with analytical / statistical programming tools for data extraction and summarization, statistics, and analysis (SAS, SQL, SPSS, R, STATA, MatLab, Alteryx, Tableau, etc.).

  • Ability to develop and modify queries to extract large amounts of data for standard and ad-hoc data requests.

  • Experience with pre-processing of data, such as cleansing, aggregating, sorting, and combining data. Ability to combine multiple sources of data.

  • Experience or coursework in advanced analytics such as analytic discovery, descriptive statistics, forecasting, experimental design, statistical inference, or predictive models.

  • Ability to analyze and interpret complex quantitative and qualitative data, independently or as part of a team. Ability to synthesize analytic insights with business questions, literature, judgment, and policy knowledge to develop options, action plans, and solutions for internal business partners.

  • Excellent oral, written, and presentation skills to effectively interface and communicate with customers.

  • Demonstrated ability to facilitate or coordinate activities or projects, including the ability to identify business requirements, resolve issues, and build consensus among groups of diverse stakeholders.

  • Experience in analytical / statistical programming tools and in the ability to extract and summarize data for requests. Demonstrated ability to thoroughly and accurately pre-process and combine multiple sources of data.

  • Demonstrated application of advanced analytic skills in one or more areas including analytic discovery, descriptive statistics, forecasting, multivariate modeling, experimental design, statistical inference, or predictive models.

  • Ability to provide analysis and data interpretation in support of strategy development, program implementation, and evaluation. Ability to develop innovative solutions by synthesizing literature, expert opinion, policy, and analytic insights.

  • Ability to serve as a Cambia resource for current programs and new opportunities by combining business knowledge with program evaluation concepts and methodologies.

  • Ability to present to and communicate with a broad array of internal and external customers, including leadership.

  • Ability to coordinate across teams or functions to drive solutions and to resolve issues in a timely and effective manner. Oversees project resources and timelines. Assists with training and staff development activities.

  • Applies knowledge of healthcare and interventions to improve member experience and achieve cost containment and other corporate objectives.

  • Designs, develops or oversees acceptance testing of new reports, programs, and models. Reviews reports and other deliverables with end customer in mind to ensure outputs meet expectations prior to being put into production.



Normally to be proficient in the competencies listed above




Consulting Research Analyst would have a BA/BS degree (or equivalent experience) in social science, public health, economics, statistics, actuarial science or mathematics and 4 years of related work experience or equivalent combination of education and experience. Master's degree or PhD preferred.


Senior Consulting Research Analyst I would have a BA/BS degree (or equivalent experience) in social science, public health, economics, statistics, actuarial science or mathematics and 7 years of related work experience or equivalent combination of education and experience. Master's degree or PhD preferred.


Senior Consulting Research Analyst II would have a Master's degree (or equivalent experience) in social science, public health, economics, statistics, actuarial science or mathematics and 10 years of related work experience or equivalent combination of education and experience. PhD degree preferred.


This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.


We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.


If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

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