Join to apply for the Medicare Data Analyst, Lead - REMOTE role at Amwins Join to apply for the Medicare Data Analyst, Lead - REMOTE role at Amwins Get AI-powered advice on this job and more exclusive features. PURPOSE: The Medicare Data Lead Analyst will be responsible for analyzing and interpreting healthcare data related to Medicare programs, specifically focusing on CMS Direct Subsidy, PDE, and MMR. The role involves working with large datasets, ensuring compliance with CMS regulations, and providing insights to improve healthcare outcomes and financial performance. They will work closely with other team members to collaborate and support team processes. They will partner with key business stakeholders to ensure end-to-end processes are built accurately and maintained. Key Responsibilities Analyze Medicare data, including PDE submissions, MMR reports, and CMS Direct Subsidy allocations Ensure data accuracy and compliance with CMS guidelines and reporting requirements Maintain and manage large datasets related to Medicare Part D and other relevant programs Monitor performance through tracking trends and identifying discrepancies in subsidy allocations and prescription drug events Work with cross-functional teams, including finance, IT, and healthcare professionals, to optimize Medicare data usage Lead process improvement through developing strategies to enhance data collection, reporting, and analysis efficiency Support ad-hoc and reoccurring work as needed Design, build, and maintain business intelligence reporting in collaboration with team leadership Continually focus on growing technical skills related to reporting tools and coding languages Partner with leadership and other key business contacts to ensure Medicare data and reporting knowledge is developed and maintained Qualifications Highly creative and possess the ability to manage several projects concurrently Ability to prioritize effectively and to work efficiently Ability to work both autonomously and together as a team Highly organized and deadline driven Critical thinking and solution seeking Professional communication skills, both oral and written to all levels of an organization Knowledge, Experience, And Education Bachelor’s Degree in related field, or equivalent experience 5+ years’ experience in pharmacy benefit management, health insurance, or related industry Experience with Medicare Part D data, including PDE and MMR reporting Strong understanding of CMS regulations and healthcare analytics Intermediate to expert in SQL, SAS, R, Python, or other database languages Intermediate to expert in Power BI, Tableau, Qlik, or similar tool, preferred Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Information Technology Industries Insurance Referrals increase your chances of interviewing at Amwins by 2x Sign in to set job alerts for “Lead Data Analyst” roles. Business Intelligence Digital Data Analyst Rhode Island, United States $82,778.00-$127,411.00 3 days ago Medicare Data Lead Analyst, PBM Analytics and Reporting Providence, RI $140,000.00-$180,000.00 2 hours ago Senior Staff Engineer - Finance Data Specialist (Remote) Providence, RI $115,000.00-$260,000.00 3 days ago Software Engineering Specialist - Human Data Lead Business Analyst – Global Office Moves and Design Johnston, RI $103,040.00-$148,100.00 1 week ago Rhode Island, United States $103,968.00-$184,049.00 6 days ago Freelance Software Developer (Golang) - AI Traner Rhode Island, United States $203,800.00-$289,800.00 1 week ago Providence, RI $130,000.00-$260,000.00 6 hours ago Rhode Island, United States $73,337.00-$151,628.00 4 weeks ago Freelance Software Developer (Ruby) - AI Trainer Providence, RI $85,000.00-$95,000.00 1 week ago Senior Business Tax Analyst - Work From Home Software Engineer II (MuleSoft) - Remote Freelance Software Developer (Rust) - AI Trainer We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Amwins