Lumeris Analytics Consultant in St. Louis, Missouri
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Do you want to work directly with hospital and health system clients? Have you wanted to discover new insights by combining data from EMR/EHR, claims, consumer/retail, devices, and wearables? Are you excited about deploying analytically-derived insights into the clinical and operational workflow? Do you like working with smart and motivated people? If so, you’ve come to the right place!
We are looking for a person who said “YES!!” to all of those questions to join our team. We work directly with hospitals and health systems to solve their technical and analytical challenges as they move from “volume to value”. These challenges range from needing to understand the root causes of clinical and cost savings opportunities, to assessing health plan contract performance and creating cost, quality, and utilization reports – and since the best analytics in the world do nothing on their own, we do our work and embed it into clinical and operational workflow.
Role and Responsibilities:
If you were to be in this role, your primary responsibility would be to do projects that lead to improvement in health and financial outcomes and do work to support clients. More broadly, to do this, you would understand the mutual goals and value based contracts, conduct assemble information and perform analyses to quantify baseline performance, identify opportunities and the root causes for them, and collaborate with the client and our operations staff to achieve our goals.
More specifically, your job would be to:
Understand the client’s business goals well-enough to ensure the SOW will meet their needs
Lead the discovery of the client’s EMR/EHR and/or claims data environment so we can efficiently and effectively navigate and do the analyses
Lead the analytical-interrogation of their EMR/EHR and/or claims data to perform data quality checks
Partner with our biostatisticians and data scientists to perform the analyses and displays
Communicate results/findings with the client and identify implications and recommend actions
Experience, Qualifications and Education:
The skills, knowledge, and attributes we’re looking for are listed below:
Attitude: A generally positive demeanor and outlook, works well with others and is community-minded, has a proactive leadership orientation, and enjoys contributing through work
Healthcare Domain Knowledge: Conceptual understanding of how hospitals and systems work, how they’re paid by commercial carriers and the government, and how changing reimbursement is necessitating that hospitals and health systems be able to identify and manage risk; be able to decipher the healthcare-alphabet-soup that includes ACA, ACO, AMA, BMI, CMS, through to HIE and HIPAA, etc.
Healthcare Data Expertise: Current “hands-on” working knowledge of healthcare data, including data from EMR/EHR and/or from medical and pharmacy administrative claims; strong preference will be given to those with expertise from working with claims data from multiple lines of business and payers.
Social Determinants of Health (SDH) Expertise: Also, current “hands-on” knowledge of seeking out new sources of socioeconomic, public record, biometric, and retail/consumer data, including acquisition of new SDH sources.
Analytical Actions: Logical and systematic approach to problem solving, with the ability to visualize, articulate, and solve complex problems and concepts, make decisions, and take appropriate action
Multi-Faceted: Track record in charting untested waters; need to possess conceptual skills to learn new technologies, and contribute to areas such as infrastructure, administration, and project management with ease
Handy with Tools: Working knowledge of database and analytic tools including SQL and SAS (or, equivalents)
Data Model Knowledge: Have a deep enough understanding of data model approaches to be able to discuss the pros/cons of each with our clients and data architects and create business requirements
Technical Leadership: Experience in conceptualizing analytic projects end-to-end and ability to guide other analysts with detailed reviews of their work and providing overall technical leadership
Value Orientation: Ability to constantly calibrate activities to ensure effort is focused on value and not solely on technical activities, cost, and schedules
Minimum Resume Requirements:
10+ years of experience in healthcare data analysis (including EMR/EHR, claims, eligibility and publicly available data such as CMS LDS)
Utilization of analytical tools including SQL, SAS, SPSS, and/or open-source including Python and R, or similar
Deep familiarity with HEDIS & CMS care quality measures; experience implementing both HEDIS and CMS measures using SAS and/or SQL
Master’s or equivalent in epidemiology, public health, mathematics, health services research preferred (but not required)
Location and Travel:
Job location is St Louis, Missouri or Raleigh, North Carolina. Travel is required about 1-2 times every 3 months to our other corporate office or to client sites.
Lumeris is an EEO/AA employer M/F/V/D.
St. Louis, MO
XL - FT
Join Our Growing Team!
Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs). Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care.
Over the past seven years, we have tripled in size to more than 800 employees and built the only solution on the market with our proven outcomes. For the past six years, Essence Healthcare, a long-standing Lumeris client, has received 4.5 Stars or higher from the Centers for Medicare and Medicaid Services (CMS). Essence Healthcare was Lumeris’ pioneer client and has been leveraging Lumeris for more than a decade to operate its Medicare Advantage plans, which serve more than 60,000 Medicare beneficiaries in various counties throughout Missouri and southern Illinois.
In 2018, Lumeris was named Best in KLAS for Value-Based Care Managed Services in the area of client-reported impact on the Triple Aim by KLAS Research. This was the third year in a row Lumeris received the award, and it has only been given for three years. As the industry’s most reliable and effective partner for developing population health management solutions, our success is driving tremendous growth in our company. Join us today in making a real difference in how healthcare is delivered!
Why Join Lumeris?
At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.