Strategic Analytics Manager, Quality Reimbursement & Value-Based Care
Core
Lead replication, validation, and forecasting of Maryland hospital quality reimbursement and value-based payment models using claims, financial, and quality data.
Role type
Senior IC strategic healthcare analytics manager
Builds
Financial and quality payment models, dashboards, and performance scorecards for HSCRC and CMS programs
Domain
Healthcare (US) / Health Policy & Reimbursement
Deliverable
production ML models | dashboards & analysis
Required skills
Risk adjustment, statistical modeling, claims data analysis, regulatory interpretation, financial forecasting, SQL, Power BI, Tableau, Excel
Preferred skills
Experience with AHEAD Model, HSCRC methodologies, population health analytics, stakeholder management
Technologies
SQL, Power BI, Tableau, Excel
Responsibilities
Replicate and validate HSCRC and CMS payment models; analyze claims and financial data to identify performance drivers; develop financial forecasts and scenario analyses; design enterprise dashboards and scorecards; mentor analysts and lead cross-functional projects; represent the organization in external regulatory forums.
Seniority
Senior, hands-on IC with leadership responsibilities
