Senior Medical Economics Analyst (VBC)
Remote
Full Time
Experienced
Cardiovascular Services of America (CVAUSA) is the largest private and independent cardiology network in the United States. Our inclusive and diverse network brings together top cardiovascular specialists and thought leaders who offer regional perspectives and a broad strategic vision for the future of patient care.
Novocardia, a division of CVAUSA, is on a mission to revolutionize cardiovascular care and empower clinicians across the United States to consistently deliver high-quality, prevention-focused, value-based, patient-centered care. Chronic disease is the dominant cause of avoidable healthcare spending and death in the United States and worldwide. Fortunately, much of this disease burden and associated spending is potentially avoidable through delivery of more proactive, prevention-focused care. We are deeply passionate about improving care quality, and providing more Americans with access to great, evidence-based chronic disease care.
THIS IS A REMOTE WORK FROM HOME POSITION
MUST BE ABLE TO WORK EASTERN STANDARD TIME (EST) BETWEEN 8am and 5pm
MUST BE ABLE TO WORK EASTERN STANDARD TIME (EST) BETWEEN 8am and 5pm
Position Overview
The Senior Medical Economics Analyst (VBC) will play a crucial role in NovoCardia's value-based care analytics team, supporting our rapidly growing portfolio of risk-based contracts. This position will work closely with the Senior Director of Medical Economics to develop sophisticated analytics, dashboards, and reports that drive performance monitoring and strategic decision-making. The ideal candidate will combine deep technical skills with healthcare domain knowledge, particularly in claims data analysis and value-based care metrics.Key Responsibilities
- Develop and maintain dashboards and reports to monitor contract performance, utilization trends, quality metrics, and financial outcomes
- Perform complex ad-hoc analyses to address strategic business questions and identify improvement opportunities
- Translate business requirements into analytical frameworks and data models
- Validate data accuracy and investigate discrepancies in collaboration with data engineering partners
- Design and implement standardized analytical methodologies for consistent contract evaluation
- Support Joint Operating Committee meetings with payor partners through data preparation and insights
- Serve as a backup for the Senior Director of Medical Economics for key analytics functions
- Mentor junior analysts and collaborate with cross-functional teams
- Document analytical processes and methodologies to ensure knowledge sharing and reproducibility
Required Qualifications
- Bachelor's degree in actuarial science, analytics, statistics, data science, healthcare administration, or a related field
- 5+ years of experience in healthcare analytics, with at least 2 years focusing on claims data analysis
- Strong proficiency in SQL
- Experience with at least one business intelligence tool (Power BI, Tableau, or similar)
- Experience working with healthcare claims data and understanding of medical coding (ICD-10, CPT, HCPCS)
- Demonstrated ability to translate complex analyses into actionable business insights
- Strong understanding of healthcare quality measures, risk adjustment, and value-based care concepts
- Excellent communication skills with the ability to present analytical findings to diverse stakeholders
- Understanding of basic statistical models and concepts including linear regression and ANOVA
- Experience with Python or other object-oriented programming languages is preferred
- Familiarity with Medicare reimbursement models
- Proven problem-solving abilities and attention to detail
Preferred Qualifications
- Master's degree in analytics, healthcare administration, public health, or related field
- Experience with Snowflake or other cloud-based data warehousing platforms
- Exposure to actuarial concepts such, IBNR, credibility, and case mix adjustment
- Knowledge of population health analytics and risk stratification methodologies
- Experience supporting value-based care contracts, particularly in specialty care
- Understanding of HEDIS, STAR ratings, and other quality measurement frameworks
- Proven track record of implementing analytics solutions that drive business outcomes
Job Type: Full-time
Work Location: Remote
Salary commensurate with experience
Benefits:
- 401(k)
- Health insurance
- Dental insurance
- Vision insurance
- Disability insurance
- Life insurance
- Paid time off
THIS IS A REMOTE WORK FROM HOME POSITION
MUST BE ABLE TO WORK EASTERN STANDARD TIME (EST) BETWEEN 8am and 5pm
Applicants must be authorized to work for any employer in the U.S. without sponsorship.
MUST BE ABLE TO WORK EASTERN STANDARD TIME (EST) BETWEEN 8am and 5pm
Applicants must be authorized to work for any employer in the U.S. without sponsorship.
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