Senior Remote Data Analyst for ACO Performance and Insights

**Senior Remote Data Analyst for ACO Performance and Insights**Software EngineerMiddle-LevelSenior-Level# Senior Remote Data Analyst for ACO Performance and InsightsJoin MoldStud as a Senior Technical Analytics Specialist to drive value-based healthcare through data analysis, improving patient outcomes and ACO performance.Full-TimeRemote## MoldStud’s Commitment To Growth And ExcellenceAt MoldStud, we're dedicated to nurturing talent and fostering a culture where innovation thrives. As a Middle-Level Senior Remote Data Analyst for ACO Performance and Insights, you'll find yourself at the heart of a collaborative team that values your growth, supports your professional development, and encourages you to explore new horizons in technology. We believe in pushing the boundaries of digital solutions, and we want passionate individuals like you to join us on this exciting journey.## What You’ll Be Doing As A middlesenior Senior Remote Data Analyst for ACO Performance and Insights At MoldStud## Senior Technical Analytics Specialist - Value-Based Care ProgramsJoin our dynamic team at MoldStud, where innovation, collaboration, and a commitment to transformative healthcare drive everything we do. We are seeking a passionate and experienced Senior Technical Analytics Specialist to support our Medicare Value-Based Care (VBC) initiatives, with a focus on Accountable Care Organizations (ACOs) within the MSSP program. This role offers an exciting opportunity to leverage your expertise in healthcare analytics to improve patient outcomes, optimize practice performance, and contribute to a future of value-driven healthcare.## Job DescriptionThe Senior Technical Analytics Specialist will play a pivotal role in supporting ACOs through data analysis, performance tracking, and strategic insights. As a key member of our VBC Analytics team, you will serve as a subject matter expert in value-based care metrics and analytics solutions, providing actionable insights to enhance ACO performance. Your work will help shape data-driven strategies, inform compliance with healthcare regulations, and foster continuous improvement within our partner organizations.## Key Responsibilities* **Performance Monitoring and Reporting:** Track ACO performance on MSSP program KPIs, such as total cost of care, PMPM, and admissions rates. Prepare comprehensive reports and dashboards to communicate goals, progress, and areas for improvement.* **Data Analysis and Insights:** Perform detailed analyses of healthcare data, integrating claims, electronic medical records (EMR), and healthcare coding (CPT, HCPCS, diagnosis codes). Translate complex data into clear, actionable insights for leadership and stakeholders.* **Development of Analytics Solutions:** Design and implement innovative analytics models and tools that support ACO performance enhancement, risk adjustment, and demographic scoring.* **Regulatory Compliance and Quality Assurance:** Stay current with MSSP regulations, HIPAA requirements, and healthcare data standards to ensure that analytics practices align with legal and ethical standards.* **Stakeholder Engagement and Communication:** Collaborate effectively with clinical, financial, and operational teams. Present complex findings in a clear and compelling manner tailored to diverse audiences.* **Ad-Hoc & Strategic Analyses:** Conduct special projects and ad-hoc analyses to address emerging challenges, support business decision-making, and improve care models.* **Collaboration with Cross-Functional Teams:** Work closely with data engineers, clinical teams, and external partners to develop scalable analytics solutions and optimize data workflows.## Qualifications & Requirements* **Educational Background:** Bachelor's degree in Healthcare Administration, Data Science, Statistics, or related field, Master's degree preferred.* **Experience:** Minimum of 5 years experience in healthcare analytics, with a focus on value-based care and ACO performance measures.* **Technical Skills:** Proficiency in healthcare data systems, claims data, EMRs, and healthcare coding standards (CPT, HCPCS, Diagnosis). Skilled in SQL (preferably Snowflake), SAS Enterprise Guide, and data visualization tools such as Power BI or Tableau.* **Analytical Expertise:** Strong background in risk adjustment, Hierarchical Condition Categories (HCC), demographic scores, and financial/clinical metric analysis (e.g., total cost of care, admissions per thousand).* **Compliance & Regulations:** Knowledge of HIPAA regulations and healthcare data privacy standards.* **Communication & Collaboration:** Excellent written and verbal communication abilities, with a talent for translating complex data into understandable insights.* **Attitude & Work Ethic:** Self-motivated, proactive, adaptable to changing priorities, with strong problem-solving, critical thinking, and relationship-building skills.## Benefits & Perks* **Work Environment:** Flexible hybrid work model supporting remote work, with expense reimbursement for internet to facilitate productivity from home.* **Health & Wellness:** Comprehensive medical, dental, and vision insurance plans. Additional wellness programs and resources to support your overall well-being.* **Other Support:** Life and pet insurance options, paid time off, and participation in retirement savings plans (such as 401(k)).* **Professional Growth:** Opportunities for continuous learning, skill development, and career advancement within a forward-thinking organization committed to innovation.* **Inclusive Culture:** MoldStud values diversity and is dedicated to creating an equitable environment where all team members can thrive and contribute meaningfully.## Join Our MissionIf you are passionate about leveraging data to revolutionize healthcare and committed to making a tangible difference in patient care, we invite you to become part of our mission-driven team. Together, we can shape the future of healthcare through innovative analytics and a shared commitment to excellence.## We Need You To Have Some Hard Skills* Proficiency in healthcare data systems like claims, EMRs, and coding standards* Strong SQL skills, preferably Snowflake, for data extraction and manipulation* Experience with SAS Enterprise Guide for advanced analytics tasks* Skilled in data visualization tools such as Power BI or Tableau* Knowledge of healthcare regulations like HIPAA and data privacy standards* Experience with risk adjustment and hierarchical condition categories* Ability to analyze financial and clinical metrics, including total cost of care* Excellent written and verbal communication skills for diverse audiences* Minimum of 5 years healthcare analytics experience, focused on value-based care* Bachelor's degree in Healthcare, Data Science, or related, Master's preferred## We Need You To Have Some Soft Skills* - Communicates complex concepts clearly to diverse audiences.* - Collaborates effectively with clinical, financial, and operational teams.* - Demonstrates proactive attitude and adaptability to change.* - Builds strong relationships through trust and effective communication.* - Shows leadership in guiding and inspiring team members.* - Listens actively to understand stakeholder needs and perspectives.* - Resolves conflicts with tact and professionalism.* - Maintains a positive attitude under pressure and tight deadlines.* - Embraces continuous learning and welcomes feedback.* - Exhibits integrity and respects data privacy standards.## When, With Who, And How You’ll Be Working###### UTC+03:00:

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A 30-minute introductory conversation with our HR Manager or Hiring Manager to discuss #J-18808-Ljbffr