[Hiring] Medicare Researcher @Mathematica Inc

Role Description

Mathematica is searching for professionals with experience designing and delivering real-world data analytics. This individual will lead the development and deployment of statistical models and operational processes using administrative claims and other data sources. In particular, we are looking for individuals with expertise in Medicare alternative payment models (APMs) who can apply data analytics to support the implementation and refinement of:

• Pay-for-performance
• Episode-based bundled payment
• Total-cost-of-care shared savings models

Focus areas include:

• Creating innovative approaches to payment incentives
• Developing and testing improvements to existing payment methodologies
• Constructing target prices
• Reconciling provider fee-for-service payments against benchmarks

In this role, you will participate in and provide oversight for tasks related to:

• Performance and payment calculations
• Production of provider-specific data and performance reports
• Analytics to inform program monitoring and decision making

Example projects include:

• Developing and implementing episode bundles
• Testing alternative approaches to attribution, risk adjustment, and peer grouping
• Calculating financial benchmarks and reconciliation payments
• Assessing performance and refining performance scoring methods for model participants
• Developing and producing provider feedback reports
• Developing innovative approaches to monitoring compliance and conduct among APM participants

Duties of the position:

• Participate actively and thoughtfully in multidisciplinary teams, drawing on your experience with Medicare data and policy, health services research methodologies, and APM development, implementation, and analysis
• Lead the development and implementation of operational processes for APMs such as bundled payment, shared savings, or similar models
• Bring creative ideas to the development of proposals for new value-based care and other payment reform projects
• Author project reports, memos, technical assistance tools, issue briefs, and webinar presentations
• Contribute to the growth, expertise, and institutional knowledge of staff working in the areas of Medicare policy, APMs, and value-based care

Qualifications

• 4-8 years of experience working in health policy, health research, or real-world analytics
• Master’s or doctoral degree or equivalent experience in data analytics, public health, public policy, economics, behavioral or social sciences, or other relevant disciplines
• Experience reviewing and interpreting federal regulations and translating regulations into business requirements and technical specifications
• Experience conducting analyses of Medicare Part A, Part B, Part D, enrollment, and other administrative data
• Strong foundation in quantitative methods, including experience with statistical techniques such as multivariate regression models, time series analysis, and imputation
• A broad understanding of Medicare’s approach to value-based care and portfolio of APMs
• Excellent written and oral communication skills
• Demonstrated ability to coordinate the work of multidisciplinary teams
• Strong organizational skills and high level of attention to detail

Requirements

• A cover letter, resume, and writing sample must be submitted at the time of application via our online application system
• This position offers an anticipated base salary of $100,000 - $135,000 annually

Benefits

• Competitive salaries
• Comprehensive benefits package
• 100 percent employee owned
• Financial benefits of ESOP holdings

Company Description

Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics.