Principal Quantitative Researcher – Federal Health Programs

This is a fully remote position, open to applicants in Arizona, +25 more states.

📋 Description

• Oversee the design and implementation of monitoring for CMS/CMMI alternative payment models.

• Convert model design documents and participation agreements into monitoring specifications utilizing Medicare claims, enrollment, and participant-reported data.

• Develop monitoring frameworks that include logic models, measures, data sources, benchmarks, analytic methods, and reporting.

• Identify and analyze unintended consequences such as risk selection, coding intensity, care stinting, and changes in referral or site-of-care patterns.

• Collaborate with data scientists and engineers to create dashboards, automated reporting, ML-based anomaly detection, and early-warning signals on the Commence platform.

• Generate monitoring reports, briefings, and risk summaries for CMMI model teams.

• Transform findings into clear, actionable recommendations.

• Lead technical strategies for CMS/CMMI and other federal agency proposals, fulfilling critical project roles.

• Spearhead monitoring methods for quality measurement and payment incentive initiatives for CMS and state partners.

• Mentor junior researchers and analysts.

• Manage teams, establish priorities, coordinate tasks, engage clients and stakeholders, and ensure the timely delivery of high-quality products within budget.

⛳️ Requirements

• Ph.D. in economics, health services research, health policy, public health, or a related field with over 9 years of relevant experience; or a Master’s degree with over 13 years.

• Practical experience in monitoring CMS/CMMI alternative payment models.

• Familiarity with APM and value-based care mechanics: beneficiary attribution, quality scoring, capitated payments, bundled payments, financial incentives, benchmarking, and risk adjustment.

• Experience with Medicare and/or Medicaid administrative and claims data (e.g., CCW, IDR, VRDC).

• Ability to write clearly and concisely for federal audiences.

• Experience in proposal writing.

• Proven track record of leading significant tasks or projects, along with managing and mentoring staff.

• Must be authorized to work in the U.S.

• Capable of obtaining and maintaining a CMS-required background investigation (public trust).

• Preferred: Experience with Databricks or other cloud analytics platforms and proficiency in Power BI, Tableau, or similar tools.

• Preferred: Proficiency in SAS, R, Python, or SQL.

• Ability to sit, read, work on a computer, and focus on a computer screen for extended periods.

• Occasionally able to stand, walk, use hands and fingers, kneel, or crouch.

🏝️ Benefits

• Remote position.

• Occasional travel to the Baltimore/Washington, DC area for client meetings.

• Reasonable accommodations available for individuals with disabilities.

• Equal employment opportunity and nondiscrimination.

• Extended hours may be required around proposal deadlines and key deliverables.