Senior Program Research Associate

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Design, construct, and oversee surveillance logic utilizing Medicare claims data.

• Create and enhance statistical thresholds and decision-making criteria.

• Administer surveillance data streams — including CMS claims updates, provider taxonomy information, eligibility events, and post-acute episode sequences.

• Analyze identified patterns, implement documented decision-making rules, and record findings.

• Develop and sustain benchmark adjustment models to quantify the financial impact on ACO shared savings positions.

• Create and provide operational alerts to care management and network teams.

⛳️ Requirements

• A Bachelor's degree in health economics, statistics, mathematics, health informatics, public health, computer science, or a closely related quantitative discipline.

• Over 5 years of progressive experience in healthcare data analytics, health economics, or a similarly related analytical field with demonstrated advancement in scope and independence.

• More than 3 years of direct, hands-on experience with Medicare claims data — including CMS CCLF extracts, LDS files, or equivalent — covering claim types (carrier, institutional, DME), revenue codes, HCPCS/CPT coding, and adjudication logic.

• At least 2 years in a value-based care, ACO, or payer analytics setting.

• A minimum of 2 years applying health analytic techniques: cost decomposition, utilization trending, risk adjustment analysis, population segmentation, or financial impact modeling.

• Over 3 years of experience with SQL, Python, R, or dbt is required.

• At least 2 years of experience with Snowflake (preferred), BigQuery, or Redshift.

• A minimum of 2 years working with a BI platform (Sigma, Looker, Tableau, or Power BI).

🏝️ Benefits

• Health insurance

• Flexible work arrangements

• Professional development opportunities