Sr. Medicare Program Analyst

Company Description

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Job Description

The senior Medicare Program Analyst will work cross-functionally within the team, helping develop a purpose-driven analytics platform to maximize our analytics capabilities and performance. This role's primary emphasis is building, automating, and optimizing technical processes for running Medicare Value-Based Care Program MVBCP) analytics.

Primary Job Duties:

• Develop proprietary solutions to provide the business with the best analytics to drive success in existing and new contracts
• Develop integration and automation of MVBC analytics processes to achieve superior service in providing insights to internal and external stakeholders
• Enable the MVBC team to achieve higher efficiency in performing analyses and running reports by:
  • Improving the performance and scalability of databases, SQL scripts, and SAS programs
  • Designing, building, and running ETL programs and automation scripts for extracting, cleaning, transforming, and loading claims, EMR, clinical, and third-party data using SAS (9.4) and SQL (Snowflake)
  • Collaborating with the team members to design ETL & automation workflows
  • Ensuring data integrity, data accuracy, and completeness by developing Quality Assurance (QA) checks
  • Evaluating and improving existing QA checks
  • Documenting technical processes for future reference
  • Providing expertise to team members in technical aspects of building healthcare analytical solutions
• Assume leadership in representing the MVBC team in organization-wide infrastructure-related projects such as database, platform, and application migration
• Collaborate closely with IT leadership, engineers, and 3rd parties to build and enhance business analytics to support Privia Health’s VBC business
• Learn and understand the Medicare regulatory landscape related to healthcare data, analytics, Shared Savings programs, and Accountable Care Organizations (ACO)

Qualifications

• Proven record in building automation, ETL, and scalable analytics using SAS and SQL
• Strong experience with SAS and SQL required
• Bachelor’s Degree preferred in healthcare or a quantitative major (e.g., public health, engineering, analytics, economics, actuarial sciences, statistics, healthcare information systems) OR relevant equivalent experience preferred 
• Experience working at a health plan, hospital system, ACO, provider organization, consulting firm, technology start-up, or previous analytics experience and capabilities preferred
• Experience with Snowflake environment preferred

Interpersonal Skills & Attributes:

• Communicates complex information and concepts. Creates clarity and adjusts style to the expertise of the audience
• First thing first, prioritizes based on the needs of the MVBC team and business
• Outcomes-driven, delivers with impeccable planning and time management
• Performance-driven, keeps the team’s goals at the forefront and prioritizes daily         activities to meet those goals
• Comfortable in a rapidly evolving environment
• Highly collaborative and effective across an organization and amongst multiple stakeholders
• Must comply with HIPAA rules and regulations

The salary range for this role is $82,500.00 to $110,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15% and restricted stock units based on performance in the role. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers only, not applicable for onsite/in office work):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.