Senior Medical Economics Analyst

Responsibilities

• Develop and maintain risk-adjusted provider group performance models using CMS-HCC methodology
• Analyze VBC performance under various CMS and CMMI total cost-of-care models
• Monitor and forecast financial performance across assigned patient populations
• Conduct claims analysis using CCLF and BCDA datasets
• Process and analyze large healthcare datasets from EHR and Medicare claims
• Create analytical reports and executive dashboards to translate findings into business insights
• Support budget planning and financial forecasting processes
• Collaborate with revenue cycle and coding teams to optimize documentation

Requirements

• Bachelor's degree in Data Science, Statistics, Mathematics, Economics, or related field
• 3-5 years of data analytics experience, preferably in healthcare or Medicare
• Hands-on experience with Medicare risk adjustment and CMS-HCC models
• Experience with CMS and CMMI total cost of care (ACO) programs
• Proficiency in analyzing CCLF and BCDA datasets
• Advanced proficiency in Microsoft Excel (pivot tables, complex formulas, VBA preferred)
• Strong SQL skills for complex queries and database optimization
• Experience with Microsoft Azure cloud platform
• Ability to work with multi-million row datasets

Preferred Qualifications

• Experience integrating EHR data with claims datasets
• Knowledge of healthcare billing processes from provider and CMS perspectives

Benefits

• Medical, Dental, and Vision insurance
• Life Insurance, Short Term and Long Term Disability
• Flexible Spending Accounts (Medical and Dependent Care)
• Accident, Critical Illness, and Hospital Indemnity
• Paid Time Off and Paid Office Holidays
• Paid Sick Time
• 401(k) with up to 3% company match
• Payactiv pay-on-demand service

About the Company

Ennoble Care is a mobile primary care, palliative care, and hospice service provider. Their clinicians provide a continuum of care for patients with chronic conditions and limited mobility directly in their homes.