What are some of the day-to-day duties?
- Utilize claims, clinical, and operational data sources to analyze performance metrics and provide actionable insights to support value-based contract performance
- Conduct risk and revenue projections to inform strategic decision-making and mitigate financial risks
- Perform medical expense analysis and projections, identifying areas for cost optimization and efficiency improvements
- Apply expertise in HCC risk adjustment methodology to ensure accurate risk assessment and appropriate capitated reimbursement
- Manage HEDIS/STARs reporting processes to monitor and improve quality measures, driving better patient outcomes
- Generate cost and utilization reports to track trends, identify anomalies, and recommend interventions
- Collaborate cross-functionally with key stakeholders, including clinicians, operations teams, and payer partners, to align analytics initiatives with organizational goals
- Help develop the analytics strategy and build Gather Health’s Analytics team, including the hiring and management of new data & analytics team members, as needed
- Ensure technical excellence with reports, dashboards, and other analytical products
What are the requirements for this position?
- Bachelor’s degree in healthcare administration, statistics, mathematics, or a related field; advanced degree preferred
- Minimum of 8 years of experience in healthcare analytics, preferably within a primary care or value-based care setting
- Experience building reporting and data visualization around utilization, costs and quality measure data sets.
- Proven track record of success in risk and revenue projections, medical expense analysis, and performance optimization
- Expertise working with technical teams to build the foundation of claims data intake, ingestion, transformation and normalization and analyzing this data
- Expertise in HCC risk adjustment methodology and familiarity with HEDIS/STARs reporting requirements
- Proficiency in SQL, R, Python, or other programming languages commonly used in data analysis.
- Strong analytical and problem-solving skills, with the ability to translate complex data into actionable insights
- Excellent communication and presentation skills, with the ability to convey technical concepts to non-technical stakeholders
- Experience leading and developing high-performing analytics teams, fostering a collaborative and innovative work environment
Why should I join Gather Health?
- We are a mission-based organization that is passionate about changing the way seniors experience primary care
- Our business model is unique and on the cutting-edge of the primary care industry
- Our leadership team is comprised of experienced individuals who are committed to creating not only the best patient experience, but also an amazing employee experience for our colleagues
- We are intentionally building a strong company culture and providing a compassionate and joyful work environment
- The organization was conceptualized, founded, and launched by experienced co-founders with a track record of success in the healthcare space
