Sr Healthcare Data Analysis Consultant

Job Title: Sr Healthcare Data Analysis Consultant
Location: Columbia, Maryland
Type: Contract To Hire
Compensation: $78 per hour
Contractor Work Model: Hybrid – onsite and remote

Responsibilities

• Lead the creation of advanced analytical tools to support decision-making within the organization, focusing on healthcare billing and provider data.
• Support enterprise Stars and Risk Adjustment strategies through collaboration with analysts, policy makers, and strategy leaders to identify trends and opportunities in Medicare and Medicaid.
• Develop and maintain scheduled and ad hoc reports for Risk Adjustment and Quality, ensuring timely delivery amidst shifting priorities.
• Identify key drivers affecting Risk Adjustment and Stars programs, evaluate effectiveness, and recommend improvements based on sophisticated analytics.
• Create and update visualizations to support business divisions at all levels, leveraging tools such as Power BI and Tableau.
• Monitor application performance and work with clients and data stewards to implement enhancements and ensure compliance with government program directives.
• Work with external vendors and governmental agencies as needed, ensuring all reporting is aligned with current healthcare policies and requirements.

• 10 years of experience in data science methodologies, data analysis, modeling, and reporting.
• Bachelor’s Degree in Data Science, Mathematics, Computer Science, Statistics, or a closely related field; Master’s or PhD preferred.
• Previous provider data experience working with leadership on data issues, accuracy, and claims platforms.
• Proficiency with R, SQL, SAS, Python, or similar stack for programming and data transformation.
• Knowledge of Salesforce and FACETS required.
• Demonstrable experience with reporting to leadership and working remotely with teams.
• Expertise in healthcare data and systems, including Medicare Advantage and Medicaid.
• Advanced skills in creating visualizations and working with relational databases, star schemas, and time-series data.
• Proficiency with visualization tools such as Power BI Service and Tableau.
• Experience working with unstructured data like social determinants of health and electronic medical records.
• Preferred qualifications include experience with Azure Cloud, Agile development, and large data sets with distributed computing (Hive/Hadoop).

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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Ref: #851-Rockville-S1