Data Analysis Consultant

The Data Analysis Consultant leads the creation of cutting-edge analytic tools to drive better and faster decision making within the organization and provides critical support for key corporate programs, Medicare Advantage Stars and Risk Adjustment programs as it relates to provider data, provider to claims process. Must have previous Provider data experience working with leadership on provider data issues, accuracy, and provider data interactions with claims and claims platforms. Knowledge of Salesforce and Facets is required. Previous demonstrable experience with reporting to leadership and working remotely with teams is preferred.

Essential Functions:

• 50% Supports enterprise Stars and Risk adjustment strategy through collaboration with analysts, healthcare policy makers, and strategy leaders throughout the company to identify trends and opportunities across the Medicare and Medicaid healthcare landscape. Consults with business leaders, IT partners, and product owners to facilitate product development and guide Stars and Risk Adjustment priorities through insightful analytics.
• 30% Identify and quantify key drivers for the Risk Adjustment and Quality/Stars programs, investigate areas of opportunity, evaluate effectiveness and make recommendations. Apply business knowledge to Analytics projects and provide value-added insights to impact business outcomes, working cooperatively with various internal and external partners. Using the application of sophisticated analytical capabilities, develops and maintains visualizations to support all business divisions across all levels. Develop and maintain scheduled and ad hoc reports for Risk Adjustment and Quality in response to business needs given tight deadlines, minimal direction, and shifting priorities.
• 20% Provide on-going tracking and monitoring of application performance and recommend improvements to methods and algorithms. Work closely with clients, data stewards, and other business and technology leaders to frame problem definition and potential solutions. Required to stay current with Government Programs requirements and directives including those specific to Medicare and Medicaid and update all their reporting and analytics accordingly. Work with external vendors and governmental agencies as required. Excellent organizational skills and ability to set priorities and handle multiple projects concurrently.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Experience: 10 years’ experience in data science methodologies, data analysis, modeling and reporting.

Preferred Qualifications:

• Masters or PhD in disciplines identified above
• Experience working with Azure Cloud native programs
• Agile software development experience
• Experience with large data sets and distributed computing (Hive/Hadoop) a plus

Knowledge, Skills and Abilities (KSAs):

• Programming experience with R, SQL, SAS, Python or similar stack, Expert
• Proficiency at transforming data, data classification and translations, as well as resolving data quality and data cleansing challenges, Proficient
• Business knowledge of government programs (Medicare Advantage and Medicaid) healthcare data and systems, Advanced
• Sophisticated analytical capabilities and the development and maintenance of visualizations to support all the business divisions across all level, Advanced
• Intermediate design work and/or use of relational databases including experience working with dimensional modeling, star schemas and time-series data, Advanced
• Demonstrated proficiency with visualization tools such as Power BI Service and Tableau, Proficient
• Experience working with unstructured data such as social determinants of heath, electronic medical records, clinical data, or similar, Advanced

Education Level: Bachelor’s Degree

Education Details: Data Science, Mathematics, Computer Science, Statistics, or a closely related field

In Lieu of Education: In lieu of a Bachelor’s degree, an additional 4 years of relevant work experience is required in addition to the required work experience., Agile Programming Methodologies, Algorithms, Analysis Skills, Apache Hadoop, Apache Hive, Business Services, Business Support, Claims Processing, Clinical Data, Cloud Computing, Computer Science, Consulting, Data Analysis, Data Modeling, Data Quality, Data Science, Data Sets, Dimensional Modeling, Distributed Computing, Electronic Medical Records, Establish Priorities, Financial Reporting, Government, Government Requirements, Healthcare, Information Technology & Information Systems, Leadership, Mathematics, Medicaid, Medicare, Microsoft Windows Azure, Multitasking, Organizational Skills, Performance Analysis, Performance Management, Power BI, Product Development, Product Documentation, Python Programming/Scripting Language, R Programming Language, Relational Databases (RDBMS), Risk, SQL (Structured Query Language), Schedule Development, Software Development, Star Schema, Statistics, Tableau, Time Management, Trend Analysis, Unstructured Data, Work From Home

Title: Data Analysis Consultant Organization: Ampcus Incorporated Location: Columbia Description: Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Data Analysis Consultant, Ampcus Inc is a global technology and business consulting firm specializing in Digital Transforrmation, Big Data, Analytics, Cyber Security, Testing, IV&V, Infrastructure Management and Enterprise Solutions. Ampcus Inc is an SBA 8(a) certified Women and Minority Owned global Provider of broad range of consulting Services. From strategy to execution, our disciplined yet flexible approach starts and ends with our clients. By listening hard and working harder, their goals become our goals. We are an ISO 9000, ISO 20000, ISO 27000 and CMMi Level certified company.

Ampcus consultants have significant business, engineering and technology experience. Our consultants have over 20 years of business experience and an average of over 10 years of engineering and technology experience. This means that the project teams understand how systems work and how the technology impacts the business processes of organizations.

We believe that success of an engagement is determined by strong project management, clear communication and mutual commitment working collaboratively. Our methodology begins by listening to the customer needs, then working with their teams to gain a clear understanding of the requirements, while providing a knowledge transfer of best practices for the organization. As a recognized leader providing customized software services, management and engineering solutions to companies around the world, our ability to deliver is a “granted” that makes companies put their trust in us to answer their day-to-day business challenges and put them on a path for greater success. We are the choice for our clients because we look at our clients business from a growth perspective.

Industry: Information Technology and Services

Specialties: Digital Transformation, Big Data and Analytics, Infrastructure Management Services, Testing and IV&V, Cyber Security, Active Directory and E-mail Infrastructure, Project Management, Training, and ERP, CRM. EAI, BI

Company Size: 500 to 999 employees