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Provider Payment Reform Lead Analyst

Job ID 897-5

Position Description:

Mathematica is dedicated to improving public well-being by bringing the highest standards of quality, objectivity, and excellence to bear on information and analysis for our partners and clients. The company has been at the forefront of design and assessment of public policies and programs since 1968. Our multi-disciplinary team of health researchers, data analysts, statisticians and others have conducted many of the most important studies of federal, state, and non-governmental interventions to improve health care delivery and health care financing. We have developed and implemented measures of health care quality and costs used in value-based purchasing programs and have supported large-scale payment reforms by developing feedback, monitoring, and reporting systems, as well as modeling alternative policy designs.

To support our growing portfolio of work assisting clients with alternative payment models, Mathematica seeks a professional with experience designing, implementing, and supporting provider (i.e., physician, hospital, or other provider) payment reforms in government or commercial payer environments. Reforms include pay-for-performance, bundled payments, payments to support accountable care organizations and patient-centered medical home models, and various other alternative payment models. As a lead analyst, you would join our staff of over 500 health policy professionals with substantive experience in public policy, behavioral and social sciences, clinical care, economics, public health, and administration.

Typical responsibilities include:

  • Leading teams tasked with designing, implementing, validating and providing analytic support for provider payment reforms

  • Working closely with developers, statisticians, clinicians, and other multi-disciplinary team members in developing data systems and reporting processes to support payment operations

  • Specifying, conducting, and documenting quantitative data analyses using claims and other administrative data to calculate payments or performance benchmarks

  • Incorporating performance measures into payment reforms through the development and implementation of scoring methodologies

  • Assisting with the design and development of provider feedback reports

  • Reviewing policy documents and translating them into specifications

  • Developing simulation models to test the effects of new methodologies on payment amounts

  • Authoring technical assistance tools, frequently asked questions documents, response scripts, implementation guides, webinar presentations, and other outreach materials to educate providers about payment reforms and to support provider help desks or call centers

  • Collaborating with federal, state and other clients, and other external stakeholders in designing, implementing, validating, and providing analytic support for payment reform models

Position Requirements:

  • Master’s degree in economics, statistics, data science, public policy, public administration, public health, business, or a related field, or equivalent experience in a health care payer, delivery system, or clinical care environment

  • Five or more years of work experience in health care consulting, payer, government agency, or purchaser environment working on payment reforms

  • Demonstrated ability to lead and manage tasks, and coordinate the work of multidisciplinary and multi-office teams

  • Ability to think critically about issues relating to policy development and implementation

  • Strong quantitative skills and knowledge of health care claims, other administrative data, and quality and resource use measures

  • Excellent oral and written communication skills to support close client collaboration on fast-paced projects

  • Strong organizational skills and high level of attention to detail; flexibility to lead and manage multiple priorities, sometimes simultaneously, under deadlines

  • Ability to complete tasks on tight deadlines without compromising quality

  • Understanding of Medicare value-based purchasing and alternative payment models is especially desirable

  • Experience with MS Project, Jira, and Confluence is desirable

To apply, please submit a cover letter, resume, writing sample, and salary expectations. We offer our employees a stimulating, team-oriented work environment, competitive salaries, and a comprehensive benefits package, as well as the advantages of employee ownership.

Various federal agencies with whom we contract require that staff successfully undergo a background investigation or security clearance as a condition of working on the project. If you are assigned to such a project, you will be required to obtain the requisite security clearance.

Available Locations: Ann Arbor, MI; Cambridge, MA; Chicago, IL; Oakland, CA; Princeton, NJ; Washington, DC

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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