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Analytics Senior Director
Gather HealthUKRemotefull_timeVerifiedPosted 1 Apr 2024
About the role
Who is Gather Health? We are a new and growing healthcare organization with a unique and innovative approach to healthcare. Our mission is to improve lives and communities through socially supported primary care for older adults. Our innovative business model allows our clinicians to treat the whole patient - not just their clinical needs. We do this by having a dedicated care team that supports our clinicians by addressing our patients’ social determinants of health and providing the highest quality of service possible. Our ultimate vision is creating generational health and equity for communities across the country, one patient at a time. Position Overview We are seeking an experienced Analytics Senior Director to lead data-driven initiatives supporting Gather Health, an at-risk primary care group for seniors. The ideal candidate will possess a blend of analytical prowess, strategic thinking, and deep understanding of healthcare data sources, particularly claims, clinical, and operational data. As the Analytics Senior Director, you will play a critical role in optimizing performance under value-based contracts and enhancing the effectiveness of the Gather Health clinical model.
What are some of the day-to-day duties?
- Utilize claims, clinical, and operational data sources to analyze performance metrics and provide actionable insights to support value-based contract performance
- Conduct risk and revenue projections to inform strategic decision-making and mitigate financial risks
- Perform medical expense analysis and projections, identifying areas for cost optimization and efficiency improvements
- Apply expertise in HCC risk adjustment methodology to ensure accurate risk assessment and appropriate capitated reimbursement
- Manage HEDIS/STARs reporting processes to monitor and improve quality measures, driving better patient outcomes
- Generate cost and utilization reports to track trends, identify anomalies, and recommend interventions
- Collaborate cross-functionally with key stakeholders, including clinicians, operations teams, and payer partners, to align analytics initiatives with organizational goals
- Help develop the analytics strategy and build Gather Health’s Analytics team, including the hiring and management of new data & analytics team members, as needed
- Ensure technical excellence with reports, dashboards, and other analytical products
What are the requirements for this position?
- Bachelor’s degree in healthcare administration, statistics, mathematics, or a related field; advanced degree preferred
- Minimum of 8 years of experience in healthcare analytics, preferably within a primary care or value-based care setting
- Experience building reporting and data visualization around utilization, costs and quality measure data sets.
- Proven track record of success in risk and revenue projections, medical expense analysis, and performance optimization
- Expertise working with technical teams to build the foundation of claims data intake, ingestion, transformation and normalization and analyzing this data
- Expertise in HCC risk adjustment methodology and familiarity with HEDIS/STARs reporting requirements
- Proficiency in SQL, R, Python, or other programming languages commonly used in data analysis.
- Strong analytical and problem-solving skills, with the ability to translate complex data into actionable insights
- Excellent communication and presentation skills, with the ability to convey technical concepts to non-technical stakeholders
- Experience leading and developing high-performing analytics teams, fostering a collaborative and innovative work environment
Why should I join Gather Health?
- We are a mission-based organization that is passionate about changing the way seniors experience primary care
- Our business model is unique and on the cutting-edge of the primary care industry
- Our leadership team is comprised of experienced individuals who are committed to creating not only the best patient experience, but also an amazing employee experience for our colleagues
- We are intentionally building a strong company culture and providing a compassionate and joyful work environment
- The organization was conceptualized, founded, and launched by experienced co-founders with a track record of success in the healthcare space
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