Sr. Technical ACO Data Analyst US Security & IT

About Jobgether

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Job Summary

This position provides a unique opportunity to leverage both technical expertise and healthcare business knowledge to support Accountable Care Organizations (ACOs) in the Medicare Value-Based Care programs.

Key Responsibilities

• Serve as a subject matter expert in Value-Based Care (VBC) analytics, focusing on ACO performance within the MSSP program.
• Develop, enhance, and implement analytics solutions to guide ACO leadership and operations teams.
• Track Key Performance Indicators (KPIs) and communicate insights, trends, and actionable recommendations to stakeholders.
• Perform ad-hoc analyses, modeling, and reporting to answer complex business questions.
• Maintain up-to-date knowledge of CMS guidelines, ACO performance indicators, and healthcare regulations.
• Collaborate with cross-functional teams to enable scalable, efficient analytics processes.
• Engage stakeholders to understand their needs and support data-driven business decisions.

Requirements

• Strong experience in Value-Based Care (VBC) and ACO operations.
• Expertise in healthcare analytics, including financial and clinical metrics such as PMPM, total cost of care, and admits per thousand.
• Experience with healthcare data, claims, EMR systems, CPT/HCPCS codes, POS, and diagnosis coding.
• Proficiency in SAS EG, Visual Analytics, SQL (Snowflake), and Excel.
• Knowledge of risk adjustment, HCC, and demographic scoring data.
• Strong understanding of HIPAA compliance and data privacy regulations.
• Excellent communication skills to translate analytical findings into clear insights and actionable recommendations.
• Ability to work in a dynamic environment, managing changing priorities and complex problems.
• Strong critical thinking, self-motivation, and relationship-building skills.
• Bachelor’s degree or equivalent experience in a related field.

Benefits

• Competitive base salary of $85,000 to $100,000 with an annual bonus target of 15%.
• Comprehensive healthcare benefits including medical, dental, vision, life, and pet insurance.
• 401(k) plan with potential employer contributions.
• Paid time off and wellness programs.