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Healthcare Analytics Director

Company Essence Group Holdings Corporation
Location New York, NY
Update 7 Day ago

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Position: Healthcare Analytics Director Position Summary: If you were to be in this role, your primary responsibility would be to ensure the client’s needs are met. To do this, you would collaborate with our market operations team to identify the client’s needs, translate those business needs into analytic deliverables, ensure the statement of work (SOW) that defines the deliverables is complete and accurate, participate and lead the work effort the work outlined in the SOW, and partner with the team on leading the client through the process and communicating results.

More specifically, your job would be to:

1)Understand the client’s business goals well-enough to ensure the SOW will meet their needs
2)Lead the discovery of the client’s EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the analyses
3)Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks
4)Partner with our biostatisticians and data scientists to perform the analyses and displays
5)Communicate results/findings with the client and identify implications and recommend actions

In this role, you’d also have responsibility to take on new challenges. For example, today the EMR/EHR data we’re working with for one client doesn’t include real-time data streams, but over the next few months we will have access to streams that are real-time and need you to partner with our technology partners to intake, analyze, and output that so that it is maximally actionable by our client. Examples of the data streams include those from 3rd parties such as from clinical assessments, in-hospital monitors (for example, levels of blood carbon dioxide), home monitors (for example, weight scales for patients with heart failure), and wearables (for example physical activity and heart rate from FitBit type devices). Job Description:

Role and Responsibilities:

The skills, knowledge, and attributes we’re looking for are listed below:

Attitude : A generally positive demeanor and outlook, works well with others and is community-minded, has a proactive leadership orientation, and enjoys contributing through work

Healthcare Domain Knowledge : Conceptual understanding of how hospitals and systems work, how they’re paid by commercial carriers and the government, and how changing reimbursement is necessitating that hospitals and health systems be able to identify and manage risk; be able to decipher the healthcare-alphabet-soup that includes ACA, ACO, AMA, BMI, CMS, through to HIE and HIPAA, etc.

Healthcare Data Expertise : Current “hands-on” working knowledge of healthcare data, including data from EMR/EHR and/or from medical and pharmacy administrative claims; strong preference will be given to those with expertise from working with claims data from multiple lines of business and payers.

Social Determinants of Health (SDH) Expertise: Also, current “hands-on” knowledge of seeking out new sources of socioeconomic, public record, biometric, and retail/consumer data, including acquisition of new SDH sources. Analytical Actions : Logical and systematic approach to problem solving, with the ability to visualize, articulate, and solve complex problems and concepts, make decisions, and take appropriate action

Multi-Faceted : Track record in charting untested waters; need to possess conceptual skills to learn new technologies, and contribute to areas such as infrastructure, administration, and project management with ease
Handy with Tools : Working knowledge of database and analytic tools including SQL and SAS (or, equivalents)

Data Model Knowledge : Have a deep enough understanding of data model approaches to be able to discuss the pros/cons of each with our clients and data architects and create business requirements

Technical Leadership : Experience in conceptualizing analytic projects end-to-end and ability to guide other analysts with detailed reviews of their work and providing overall technical leadership

Value Orientation : Ability to constantly calibrate activities to ensure effort is focused on value and not solely on technical activities, cost, and schedules

Experience, Qualifications, and Skills Desired:

  • 8+ years of experience in healthcare-related analytics (health plans, health systems, vendors/consulting, etc
  • Experience writing analytic plans and leading analytic groups and project teams
  • Experience “managing up” – managing client expectations, for example, “under-promising and over-delivering” Experience writing and testing data integration programming code that involves large volumes of healthcare data in disparate tables
  • Utilization of analytical tools including SQL, SAS, SPSS, and open-source including Python and R (or, similar)
  • Undergraduate degree in analytical fields or completion of at least 5 Society of Actuary (SOA) exams

Experience with multiple programs and payors including:

  • Medicare Advantage (MA) – Specific knowledge of risk adjustment, and program measures and requirements.
  • Medicaid – Knowledge of Medicaid payment structures and systems
  • Individual and small-group coverage – Familiarity with risk adjustment and provisions of ACA 3Rs program
  • Provider contracting – Familiarity with the considerations when building and maintaining an Accountable Care Organization

Resume preferences, but not requirements, include:

Master’s or equivalent in epidemiology, public health, mathematics, health services research

Location and Travel:

Travel is likely to include 4-6 weeks in St. Louis during initial training / on-boarding (for 3 days/week) and 1-2 times per quarter to St. Louis and/or North Carolina.


In addition to competitive salaries, challenging work assignments, and developmental opportunities, Lumeris offers employees a comprehensive benefits package to include medical, dental, vision, life insurance, short-term and long-term disability, paid time off (PTO), matching 401K, and tuition assistance.

For more information on Lumeris careers and to apply for positions, please check out our web site:

Lumeris is an EEO/AA employer M/F/V/D.

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Location: New York, NY Time Type: Full time Status: XL - FT