Value Based Care & Payer Sr. Data Scientist Job at MD Ally Technologies, Inc.

MD Ally Technologies, Inc. Remote

ABOUT MD ALLY

Each year, millions of non-emergency calls are made to 911 that decrease ambulance availability, overcrowd EDs, and drive billions in excess costs. MD Ally is building a 911-integrated telehealth platform that allows emergency dispatchers and first responders to connect callers with non-life-threatening medical concerns to virtual care. We are on a mission to drive greater connectivity between 911 and the broader digital healthcare ecosystem.

MD ALLY OFFERS

  • Competitive compensation
  • Stock Options
  • Life-changing opportunity and incredibly gratifying experiences partnering with First Responders to build innovative 911 technology.
  • Fun Time with Mission-Driven Colleagues
    • Spring Team Retreat Featuring TopGolf and Murder Mystery Train Ride
    • Summer Team Retreats Featuring Beach Field Day and Sandcastle Competitions
    • Fall NYC Team Retreat Featuring Escape Rooms and Central Park Scavenger Hunts
  • 100% Remote, Work From Home
  • PTO Flex policy
  • Health Benefits:
    • 80-92% Employer Paid Individual Health Coverage
    • 50% Employer Paid Dental Coverage
    • Vision Insurance
  • Health Savings Account (HSA)

ABOUT THIS POSITION

The Value Based Care & Payer Sr. Data Scientist will be responsible for driving revenue growth focusing on typically managed care organizations, HMO’s, PPO’s, Third Party Administrators, insurance companies, Physician groups, other organizations that manage risk, and, as assigned on a case by case basis, Accountable Care Organizations (ACO’s) Physician Groups and Integrated Delivery Systems (combined hospitals and plans), in their assigned territory by successfully growing and retaining existing provider clients and aggressively targeting, engaging and closing provider prospects.

RESPONSIBILITIES

  • Responsible for analysis of the financial performance of payer reimbursement contracts
  • Serves as the department’s lead expert on value-based care analytics, including contract and network performance, cost, and utilization analysis
  • Partners with finance, operations, clinical and payers to develop analyses and make recommendations for value-based care programs
  • Responsible for engagement with executives, payer clients and provider clients
  • Lead cross-functional analytic initiatives and advises executives on strategic commercial and government payer initiatives, including setting direction of our people, process and tools
  • Serves as the point of contact for value-based care analytics for practice management, finance and operations
  • Managed care contracting, payment models and risk-based contracting
  • Mining clinical data, EHR and claims/ reimbursement analysis, data/statistical modeling required

QUALIFICATIONS

  • 8 years of healthcare and analytic-related work experience required
  • Proven experience leading complex payer contract analysis
  • Python and Tableau proficiency
  • Previous knowledge and experience with reimbursement claims and payment models
  • Leading without authority and working across siloes and matrixed organization
  • Experience with fast-paced, cross-functional, large-scale initiatives with a high degree of complexity
  • Proven track record of delivering results in a dynamic high-growth environment with aggressive timelines
  • Demonstrated ability to synthesize facts and insights into concrete, actionable recommendations
  • Ability to prioritize and deliver on multiple concurrent tasks in a high-quality and on-time manner
  • Proactively and independently learns and utilizes new technology, concepts, and procedures as appropriate to project requirements
  • Bachelor’s in finance, math, statistics, or a related field
  • Must be authorized to work in the US



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